Vincent M. Gemelli, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

005917 Issued in NY

Practice address

1304 Buckley Road
Suite 302
Syracuse, NY 13212-4318

Phone

(315) 671-5790

Fax

(315) 671-5791

NPI assigned

Mar 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Ted J. Triana, DO PC

  dba Compassionate Family Medicine

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1992243687
  Medicare reassignment
• Ted J. Triana, DO, PC

  dba Compassionate Family Medicine

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1740388651
  NPD
• Family Care Medical Group PC

  dba My Care

  • Non-Pharmacy Dispensing Site
  • Syracuse, NY
  • NPI 1205237914
  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1982664876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W. FAYETTE STREET",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042866",
            "telephone_number": "315-472-1488",
            "fax_number": "315-472-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 BUCKLEY ROAD",
            "address_2": "SUITE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124318",
            "telephone_number": "315-671-5790",
            "fax_number": "315-671-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEMELLI",
        "first_name": "VINCENT",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "005917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02185188",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael J Geiss II, M.D.
• Wendy L Gellert, NP
• Leslie Gellis, PH.D
• Brenda A. Geloff, P.A.
• Amy S. Gemelli, PA
• Lacey Gemmell, BSN, RN, AMB-BC
• Abigail Patrice Gendron, PHARMD
• Genesee Dental Services
• Genesee Home Health Care Products, Inc (Rothschild's Home Healthcare Center)
• Genesee Street Surgeons PLLC

• Medical Physician Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.