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

Andrew Tantalo

Individual provider Physician Assistant · NPI 1265023790

Andrew Tantalo is a Physician Assistant in Rochester, New York. Qualified in 2020, 6 years ago. Practices with Wellnow Urgent Care, PC, a 411-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
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Practice location Address checks out

1238 E Ridge Rd
Rochester, NY 14621-2012
Phone: (585) 537-3792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1265023790
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 28, 2021
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellnow Urgent Care, P.C. — 411 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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