Individual provider Active NPI

Tayler Lynne Marie Constantino

  • Physician Assistant
  • Cincinnatus, NY
National Provider Identifier
1891465530
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
027226 Issued in NY
Practice address
2805 Cincinnatus Rd
Cincinnatus, NY 13040-9685
Phone
(607) 863-4126
NPI assigned
Sep 15, 2021
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 027226 NY Primary

Addresses

Primary practice location

2805 Cincinnatus Rd
Cincinnatus, NY 13040-9685

Mailing address

85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211104003166 NY Practitioner - Physician Assistant 9032508445 Reassigns benefits to 1 organization
I20211109000264 PA Practitioner - Physician Assistant 9032508445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2805 Cincinnatus Rd
Cincinnatus, NY 13040-9685
Phone (607) 863-4126

4038 W Rd
Cortland, NY 13045-1842
Phone (607) 758-3008

85 S W St
Homer, NY 13077-1542
Phone (607) 753-3797

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Network of Central New York, Inc. Physician Assistant CurrentSince Nov 3, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Oct 18, 2021 Accepting new patients
Family Health Network of Central New York, Inc. CurrentSince Nov 3, 2025 Accepting new patients

Locations

85 S West St
Homer, NY 13077
Phone (607) 753-3797

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: tayler.constantino.1@28343.direct.athenahealth.com
  • Direct secure messaging: tnichols169769@direct-guthrie.org

Organizations & group practices 4

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.

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1891465530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CINCINNATUS RD",
            "city": "CINCINNATUS",
            "state": "NY",
            "postal_code": "130409685",
            "telephone_number": "607-863-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSTANTINO",
        "first_name": "TAYLER",
        "middle_name": "LYNNE MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2805 Cincinnatus Rd",
            "city": "Cincinnatus",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130409685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cincinnatus, NY

Sources for this page

Verify at the official NPI Registry.