ROBERT ANTHONY RISELVATO PA NPI 1851450977

NPI Information

  • NPI: 1851450977
  • Provider Name: ROBERT ANTHONY RISELVATO, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 763 LARKFIELD RD FL 2
    COMMACK, NY
    ZIP 11725
  • Phone: (631) 462-2225

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NPI Details

Robert Anthony Riselvato, PA is a surgical physician assistant in Commack, NY. Robert Anthony Riselvato, PA NPI is 1851450977. 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:

763 LARKFIELD RD FL 2
COMMACK, NY
ZIP 11725-131
Phone: (631) 462-2225
Fax: (631) 462-2804

The enumeration date for this NPI number is 12/6/2006 and was last updated on 10/4/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency MedicineP54292NEW YORKNo
2363AS0400XPhysician AssistantSurgical012994NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100000MEDICARE UPIN

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: 11/21/2025

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