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

Mr. Anthony James Rotello

Individual provider Medical Physician Assistant · NPI 1699037945

Mr. Anthony James Rotello is a Physician Assistant in Jber, Alaska. Qualified in 2012, 14 years ago. Practices with Alaska Native Tribal Health Consortium, a 603-clinician group and accepts Medicare assignment. Licensed in New York, Ohio and Pennsylvania.

Years since qualifying
14
Licensed in
NY, OH, PA
In the registry since
2012
Specialties on file
4

Practice location Address checks out

673 Mdg 5955 Zeamer Ave
Jber, AK 99506-2306
Phone: (907) 580-5556
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 019047 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence MA056083 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence OA003028 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50.003694 (OH)

Record details

NPI number1699037945
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2012
Last updated in NPPESApril 25, 2018
Mailing address251 Salina Meadows Pkwy, Ste 100, Syracuse, NY 13212-4516

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Alaska Native Tribal Health Consortium — 603 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Jber