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

Amy Cimminello, PA-C

Individual provider Surgical Physician Assistant · NPI 1619244043

Amy Cimminello, PA-C is a Physician Assistant in Stratford, Connecticut. Graduated from Js Weill Medical College, Cornell University in 2001, 25 years ago. Practices with Southern Connecticut Vascular Center LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
25
Trained at
Js Weill Medical College, Cornell University
Licensed in
CT
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

495 Hawley Ln Ste 2A
Stratford, CT 06614-1597
Phone: (203) 375-2861
Fax: (203) 502-2615
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001330 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 001330 (CT)

Record details

NPI number1619244043
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 30, 2011
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduated 2001 (25 years in practice)
Group practice Southern Connecticut Vascular Center Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare