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

Roger Alejandro Cepeda, PA

Individual provider Physician Assistant · NPI 1114344769

Roger Alejandro Cepeda, PA is a Physician Assistant in Staten Island, New York. Qualified in 2014, 12 years ago. Practices with Florida Hospital Medical Group Inc, a 1,715-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
12
Licensed in
FL, NY
In the registry since
2014
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

475 Seaview Ave
Staten Island, NY 10305-3436
Phone: (718) 226-1671
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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 23017466 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA9110264 (FL)

Record details

NPI number1114344769
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 20, 2014
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Florida Hospital Medical Group Inc — 1715 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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