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MR. ANTHONY JAMES ROTELLO NPI 1699037945


NPI Information

NPI: 1699037945
Provider Name: MR. ANTHONY JAMES ROTELLO
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ALASKA NATIVE TRIBAL HEALTH CONSORTIUM

PECOS Registration: Yes

Address:
673 MDG, 5955 ZEAMER AVENUE
JBER, AK
ZIP 99506
Phone: (907) 580-5556
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MR. Anthony James Rotello is a medical physician assistant in Jber, AK with 12 years of experience. MR. Anthony James Rotello NPI is 1699037945. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

673 MDG, 5955 ZEAMER AVENUE
JBER, AK
ZIP 99506-306
Phone: (907) 580-5556

The NPI 1699037945 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2012 and was last updated on 4/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical019047NEW YORKYes
2363AM0700XPhysician AssistantMedicalOA003028PENNSYLVANIANo
3363AM0700XPhysician AssistantMedicalMA056083PENNSYLVANIANo
4363AS0400XPhysician AssistantSurgical50.003694OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.