Active NPI
Melissa Teneil Ayala, PA-C
- Physician Assistant
- PT Byron, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017168
- Practice address
- 60 Main Street
PT. Byron, NY 13140 - Phone
- (315) 776-9700
- Fax
- (315) 776-9701
- NPI assigned
- Dec 21, 2009
- Last updated
- Nov 19, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3913 | MA | |
| Physician Assistant | 363A00000X | 017168 | NY | Primary |
Addresses
Primary practice location
60 Main Street
PT. Byron, NY 13140
Mailing address
601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 W Seneca St
Ithaca, NY 14850-3342
Phone (607) 273-7000
402 N Cayuga St
Ithaca, NY 14850-4291
Phone (607) 273-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017168 | NY | MD | Speech-Language Pathologist |
| PA3913 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urgent Care Operations PC | Current | Accepting new patients | |
| Syracuse Community Health Center | Current | Accepting new patients | |
| Finger Lakes Community Health | Current | Accepting new patients | |
| Cayuga Emergency Physicians, LLP | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients |
Locations
75 Remit Dr
Chicago, IL 60675
50 Dodge St
Ste 104
Beverly, MA 01915
Phone (978) 922-2171
1129 Commons Ave
#C
Cortland, NY 13045
Phone (607) 339-0456
601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448
101 Harris B Dates Dr
Ithaca, NY 14850
Phone (607) 274-4011
819 S Salina St
Syracuse, NY 13202
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- melissa.ayala.1@17251.direct.athenahealth.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Ithaca, NY
- NPI 1831601533
-
- Federally Qualified Health Center (FQHC)
- Port Byron, NY
- NPI 1114198819
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1558481879
-
- Community Health Clinic/Center
- East Boston, MA
- NPI 1316994411
-
- Emergency Medicine Physician
- Cortland, NY
- NPI 1578639423
-
dba Dundee Community Health
- Federally Qualified Health Center (FQHC)
- Dundee, NY
- NPI 1366939878
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1184886988
-
dba Afc Urgent Swampscott
- Urgent Care Clinic/Center
- Swampscott, MA
- NPI 1013436385
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416355200000",
"number": "1801125877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601B W WASHINGTON ST",
"city": "GENEVA",
"state": "NY",
"postal_code": "144562119",
"telephone_number": "315-781-8448",
"fax_number": "315-781-8444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 MAIN STREET",
"city": "PT. BYRON",
"state": "NY",
"postal_code": "13140",
"telephone_number": "315-776-9700",
"fax_number": "315-776-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYALA",
"first_name": "MELISSA",
"middle_name": "TENEIL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-21",
"last_updated": "2014-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA3913",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in PT Byron, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.