Individual provider Active NPI

Allison Jean Salerno, PA

  • Physician Assistant
  • Tonawanda, NY
National Provider Identifier
1972144087
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024415 Issued in NY
Practice address
1491 Sheridan Dr Ste 100
Tonawanda, NY 14217-1234
Phone
(716) 332-4476
Fax
(716) 447-1286
NPI assigned
Oct 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 024415 NY Primary

Addresses

Primary practice location

1491 Sheridan Dr Ste 100
Tonawanda, NY 14217-1234

Mailing address

1491 Sheridan Dr Ste 100
Tonawanda, NY 14217-1234
Phone (716) 332-4476

Other practice location 1

701 Seneca St Ste 646
Buffalo, NY 14210-1358
Phone (716) 995-4450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andersonb@sheridanmedgroup.com Sheridan Drive Medical Group LLP

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
I20200122001382 NY Practitioner - Physician Assistant 9830524842 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024415NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Niagara Medical Group CurrentSince Jul 1, 2020 Accepting new patients
Concerto Care Medical Group of New York, PC CurrentSince Jan 5, 2026 Accepting new patients

Locations

50 Fountain Plz
Ste 1400
Buffalo, NY 14202
Phone (718) 504-9256

521 East Ave
Lockport, NY 14094
Phone (716) 434-9111

Interoperability endpoints

  • Direct secure messaging: ms_asalerno@landmarkhealth-direct.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1972144087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1491 SHERIDAN DR STE 100",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171234",
            "telephone_number": "716-332-4476",
            "fax_number": "716-447-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 SHERIDAN DR STE 100",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142171234",
            "telephone_number": "716-332-4476",
            "fax_number": "716-447-1286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Seneca St Ste 646",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142101358",
            "country_code": "US",
            "telephone_number": "716-995-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "ALLISON",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andersonb@sheridanmedgroup.com",
            "affiliation": "Y",
            "affiliationName": "Sheridan Drive Medical Group LLP",
            "address_1": "1491 Sheridan Dr Ste 100",
            "city": "Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "142171234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

Verify at the official NPI Registry.