Individual provider Active NPI

Jacqueline Denise D'Eletto, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1053734889
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
017338 Issued in NY
Practice address
1415 Portland Ave Ste 350
Rochester, NY 14621-3043
Phone
(585) 442-5320
Fax
(585) 442-5526
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 017338 NY Primary

Addresses

Primary practice location

1415 Portland Ave Ste 350
Rochester, NY 14621-3043

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 442-5320

Other practice location 1

30 Hagen Dr Ste 100
Rochester, NY 14625-2658
Phone (585) 442-5320

Other names 1

  • Jacqueline Denise Spallina Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jacqueline.d'eletto@rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140507001647 NY Practitioner - Physician Assistant 8022241579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

2365 Clinton S Ave
Suite 100
Rochester, NY 14618-2663
Phone (585) 389-6045

30 Hagen Dr
Suite 300
Rochester, NY 14625-2658
Phone (585) 338-2700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Feb 3, 2014 Accepting new patients
Rochester General Hospital CurrentSince Nov 30, 2015 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Nov 30, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 3, 2014 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Nov 30, 2015 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 350
Rochester, NY 14621

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

30 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 242-9450

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

30 Hagen Dr
Rochester, NY 14625
Phone (585) 242-9450

Interoperability endpoints

  • Direct secure messaging: jspallina176418@direct.rochesterregional.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1053734889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 350",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213043",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Hagen Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252658",
            "country_code": "US",
            "telephone_number": "585-442-5320",
            "fax_number": "585-442-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ELETTO",
        "first_name": "JACQUELINE",
        "middle_name": "DENISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jacqueline.d'eletto@rochesterregional.org",
            "affiliation": "N",
            "address_1": "1415 Portland Ave Ste 350",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "SPALLINA",
            "middle_name": "DENISE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.