Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Elyse M Romaniak, PA-C

Individual provider Medical Physician Assistant · NPI 1851524847

Elyse M Romaniak, PA-C is a Physician Assistant in Vestal, New York. Qualified in 2009, 17 years ago. Practices with Advanced Dermatology of Colorado PC, a 64-clinician group and accepts Medicare assignment. Licensed in District of Columbia and New York.

Years since qualifying
17
Licensed in
DC, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

200 Frnt ST
Vestal, NY 13850-1559
Phone: (607) 658-1003
Fax: (607) 658-1006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014521 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA030624 (DC)

Record details

NPI number1851524847
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 25, 2009
Last updated in NPPESAugust 25, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Advanced Dermatology Of Colorado Pc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Vestal