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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROGER ALEJANDRO CEPEDA, PA

Active Sole Proprietor

ROGER ALEJANDRO CEPEDA, PA is a Physician Assistant healthcare provider located in STATEN ISLAND, New York. NPI 1114344769 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · STATEN ISLAND, NY

Registration Details

NPI Number
1114344769
Provider Type
Individual
Gender
Male
NPI Issued
Mar 20, 2014 (12.398891524894 yrs)
Last Updated
Dec 10, 2019
Licenses
PA9110264 (FL)
23017466 (NY)
Sole Proprietor
Yes

Practice Information

Address
475 SEAVIEW AVE
STATEN ISLAND, NY, 103053436
Browse NY providers · Browse ZIP 10305
Phone
7182261671
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in STATEN ISLAND, NY

Name Credential NPI
ELAINA M CAPORALE PA-C 1275524043
CLARE A BEAGEN-MCHUGH PA 1295718856
MRS. WENDY ALEXANDRA SIMONS PHYSICIAN ASSISTANT 1124095328
ROBERT F CARLUCCI MD 1386603405
JAMES VINCENT RUSSO PA 1194785725
DANIELLE MARIE GRANDNER PA 1053371591
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.