Individual provider Active NPI

Selena Buongiorno, PA-C

  • Physician Assistant
  • Wellington, FL
National Provider Identifier
1770913543
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9107672 Issued in FL
Practice address
1037 S State Road 7
Suite 211
Wellington, FL 33414-6138
Phone
(561) 798-3030
Fax
(561) 798-8242
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9107672 FL Primary

Addresses

Primary practice location

1037 S State Road 7
Suite 211
Wellington, FL 33414-6138

Mailing address

1037 S State Road 7 Ste 111
Wellington, FL 33414-6139
Phone (561) 461-4632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203000686 FL Practitioner - Physician Assistant 2163658865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9107672FLMDPhysician Assistant

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1770913543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7 STE 111",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146139",
            "telephone_number": "561-461-4632",
            "fax_number": "561-424-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 S STATE ROAD 7",
            "address_2": "SUITE 211",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146138",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONGIORNO",
        "first_name": "SELENA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9107672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.