Active NPI
Antonia Vinciarelli
- Physician Assistant
- Worcester, MA
National Provider Identifier
1750199758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 19 Foster St
Worcester, MA 01608-1715 - Phone
- (508) 373-5607
- NPI assigned
- Dec 21, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
19 Foster St
Worcester, MA 01608-1715
Mailing address
19 Foster St
Worcester, MA 01608-1715
Other practice location 1
56 Atwood St
Revere, MA 02151-4658
Phone (781) 656-2124
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6601 W Thomas Rd
Phoenix, AZ 85033-5700
Phone (602) 243-7277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1558308825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1750199758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 FOSTER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 FOSTER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081715",
"telephone_number": "508-373-5607"
}
],
"practiceLocations": [
{
"address_1": "56 Atwood St",
"address_purpose": "LOCATION",
"city": "Revere",
"state": "MA",
"postal_code": "021514658",
"country_code": "US",
"telephone_number": "781-656-2124",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCIARELLI",
"first_name": "ANTONIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-21",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.