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

Mr. Alexander Victor Midolo-Cleveland, PA-S

Individual provider Physician Assistant · NPI 1407369192

Mr. Alexander Victor Midolo-Cleveland, PA-S is a Physician Assistant in Johnson City, New York. Qualified in 2019, 7 years ago. Practices with United Medical Associates PC, a 232-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

30 Harrison St Ste 250
Johnson City, NY 13790-2176
Phone: (607) 763-6580
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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 033082 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1407369192
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorNo
NPI enumeratedNovember 16, 2017
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice United Medical Associates Pc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Johnson City