Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexander D Vendetto

Individual provider Surgical Physician Assistant · NPI 1316609456

Alexander D Vendetto is a Physician Assistant in Rocky Hill, Connecticut. Qualified in 2021, 5 years ago. Practices with Jefferson Radiology PC, a 127-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

1111 Cromwell Ave Ste 404
Rocky Hill, CT 06067-3455
Phone: (860) 525-4469
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1316609456
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2021
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023
Mailing address1111 Cromwell Ave Ste 403, Rocky Hill, CT 06067-3454

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jefferson Radiology Pc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rocky Hill