Individual provider Active NPI

Amy S. Gemelli, PA

  • Surgical Physician Assistant
  • Syracuse, NY
National Provider Identifier
1831298504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
005607 Issued in NY
Practice address
475 Irving Ave
Suite 418
Syracuse, NY 13210-1756
Phone
(315) 426-0190
Fax
(315) 426-0192
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 005607 NY Primary

Addresses

Primary practice location

475 Irving Ave
Suite 418
Syracuse, NY 13210-1756

Mailing address

475 Irving Ave
Suite 418
Syracuse, NY 13210-1756
Phone (315) 426-0190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040726001374 NY Practitioner - Physician Assistant 0941270284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Spine and Pain Medicine LLCGroup PAC ID 5597908202, 11 clinicians

Practice addresses (Care Compare)

7449 Morgan Rd
Liverpool, NY 13090-3901

7449 Morgan Rd
Liverpool, NY 13090-3973
Phone (315) 451-5400

Hospital & facility affiliations

  • Oswego Hospital Hospital, Oswego, NY, CCN 330218

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Spine and Pain Medicine LLC CurrentSince Jan 31, 2017 Accepting new patients
Cny Spine and Pain Medicine LLC CurrentSince Jan 31, 2017 Accepting new patients
Syracuse Orthopedic Specialists, PLLC Past Accepting new patients

Locations

7449 Morgan Rd
Liverpool, NY 13090
Phone (315) 451-5400

Interoperability endpoints

  • Direct secure messaging: agemelli@cny.curemd.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831298504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 418",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-426-0190",
            "fax_number": "315-426-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 IRVING AVE",
            "address_2": "SUITE 418",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101756",
            "telephone_number": "315-426-0190",
            "fax_number": "315-426-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMELLI",
        "first_name": "AMY",
        "middle_name": "S.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.