COLIN TEDESCO PA
NPI 1558722611
Physician Assistant - Medical in Orchard Park, NY

Q: What is Colin Tedesco's NPI number?

The NPI number for Colin Tedesco is 1558722611. It was assigned to this individual provider in the NPPES registry on March 16, 2016.

Q: What is Colin Tedesco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Colin Tedesco was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 16, 2016PECOS Enrolled

3900 N BUFFALO ST, ORCHARD PARK, NY 14127(716) 630-1151(716) 250-5997 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2021, Sep 25, 2019, Feb 9, 2017 and 1 more (4 updates tracked since 2016).

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About Colin Tedesco Pa NPPES

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

COLIN TEDESCO PA (NPI 1558722611) is an individual medical provider in Orchard Park, New York and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558722611

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameCOLIN TEDESCOCredential: PA

Location Address3900 N BUFFALO STOrchard Park, NY 14127-1842

Mailing Address425 Essjay Rd Ste 170Williamsville, NY 14221-8235 · (716) 630-1219

Phone(716) 630-1151

Fax(716) 250-5997

Sole ProprietorNo

Enumeration DateMarch 16, 2016

Last NPPES UpdateDecember 14, 20214 updates tracked since enumeration

NPPES CertifiedDecember 14, 2021

✔ NPI 1558722611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Also ListedPhysician AssistantTaxonomy 363A00000X

3900 N BUFFALO ST, Orchard Park, NY 14127

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Tedesco Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. JAMES M POSS M.D.

Otolaryngology