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KIMBERLY M AMODIO PA
NPI 1215970629
Physician Assistant in Syracuse, NY

Active since June 14, 2006
1000 E GENESEE ST, SUITE 205 & 206, SYRACUSE, NY 13210(315) 464-1600(315) 464-1601 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly M Amodio Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY M AMODIO PA (NPI 1215970629) is an individual physician assistant in Syracuse, New York, licensed in New York (007560) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1215970629
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY M AMODIOCredential: PA
Location Address1000 E GENESEE ST, SUITE 205 & 206Syracuse, NY 13210-1892
Mailing Address1000 E Genesee St, Suite 205 & 206Syracuse, NY 13210-1892 · (315) 464-1600 · Fax (315) 464-1601
Phone(315) 464-1600
Fax(315) 464-1601
Sole ProprietorNo
Enumeration DateJune 14, 2006
Last NPPES UpdateMay 18, 2010
✔ NPI 1215970629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 007560
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1000 E GENESEE ST, Syracuse, NY 13210
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Other Names 1

Former Name (1)Kimberly M Herzog

Other Identifiers 2

Medicaid02412206NY
Medicare PINDD6290NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY ELIZABETH ROY NP
Family Medicine (Adult Medicine)
1000 E GENESEE ST, SUITE 300
SYRACUSE, NY 13210
Onondaga County (315) 471-1044
ANTHONY F CERMINARO NP
Nurse Practitioner
1000 E GENESEE ST, SUITE 403
SYRACUSE, NY 13210
Onondaga County (315) 464-8200
MICHAEL P GABRIS MD FACC
Internal Medicine (Cardiovascular Disease)
1000 E GENESEE ST, SUITE 300
SYRACUSE, NY 13210
Onondaga County (315) 471-1044
VOJTECH SLEZKA MD
Internal Medicine (Cardiovascular Disease)
1000 E GENESEE ST, STE 300
SYRACUSE, NY 13210
Onondaga County (315) 471-1044
MRS. JESSICA KATHRYN LOCKWOOD RPA-C
Physician Assistant
1000 E GENESEE ST, SUITE 500
SYRACUSE, NY 13210
Onondaga County (315) 471-8388
EUGENE C LOZNER MD FACC
Internal Medicine (Cardiovascular Disease)
1000 E GENESEE ST, SUITE 300
SYRACUSE, NY 13210
Onondaga County (315) 471-1044
FARAH DERMATOLOGY AND COSMETICS LLC
Dermatology
1000 E GENESEE ST, SUITE 601
SYRACUSE, NY 13210
Onondaga County (315) 422-8331
LYNN A O'DONNELL NP
Nurse Practitioner (Adult Health)
1000 E GENESEE ST, SUITE 300
SYRACUSE, NY 13210
Onondaga County (315) 471-1044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Amodio's NPI number?

The NPI number for Kimberly Amodio is 1215970629. It was assigned to this individual provider in the NPPES registry on June 14, 2006. The provider is also known as Kimberly M Herzog.

Where is Kimberly Amodio located?

Kimberly Amodio practices at 1000 E Genesee St Suite 205 & 206, Syracuse, NY 13210. The listed phone number is (315) 464-1600.

What is Kimberly Amodio's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Amodio was last updated on May 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.