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

Reggie Testa Cayetano, PA

Individual provider Medical Physician Assistant · NPI 1629523956

Reggie Testa Cayetano, PA is a Physician Assistant in Syracuse, New York. Qualified in 2016, 10 years ago. Practices with Internal Medicine Group, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

739 Irving Ave Ste 600
Syracuse, NY 13210-1663
Phone: (315) 701-2550
Fax: (315) 701-2551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 — (585) 275-6366

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 20221 (NY)

Record details

NPI number1629523956
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESJune 29, 2023
Certification dateMay 11, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Internal Medicine Group — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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