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

Michael Sivilli

Individual provider Physician Assistant · NPI 1063210128

Michael Sivilli is a Physician Assistant in Bronx, New York. Qualified in 2024, 2 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group.

Years since qualifying
2
In the registry since
2025

Practice location Address checks out

1250 Waters Pl
Bronx, NY 10461-2720
Phone: (718) 920-2060
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1063210128
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateFebruary 13, 2025
Mailing address23 Tardy Ln N, Wantagh, NY 11793-1928

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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