NPIMap

Individual provider Active NPI

John Waide

  • Medical Physician Assistant
  • Cuba, NY
National Provider Identifier
1073595468
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
008982-1 Issued in NY
Practice address
140 W Main St
Cuba, NY 14727-1317
Phone
(585) 968-3877
NPI assigned
Nov 19, 2005
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 008982-1 NY Primary
Medical Physician Assistant 363AM0700X 8982 NY

Addresses

Primary practice location

140 W Main St
Cuba, NY 14727-1317

Mailing address

9275 County Road 46
Arkport, NY 14807-9484

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jwaide228322@direct.urmc.rochester.edu Direct
Direct Messaging Address jwaide228322@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040414000685 NY Practitioner - Physician Assistant 6608860374 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
77.37
Promoting interoperability
99
Improvement activities
40
Cost
71.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
008982-1NYMDPhysical Therapist
8982NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Dec 25, 2023 Accepting new patients
Rochester General Hospital CurrentSince Aug 9, 2014 Accepting new patients
Cuba Memorial Hospital Inc CurrentSince Aug 9, 2014 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Dec 1, 2016 Accepting new patients
Rochester General Hospital CurrentSince Aug 9, 2014 Accepting new patients
Nicholas H. Noyes Memorial Hospital CurrentSince Mar 2, 2024 Accepting new patients
Delphi Emergency Physician Services Past Accepting new patients

Locations

73 Buffalo St
Ste 100
Canandaigua, NY 14424

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

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

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: jwaide228322@direct.urmc.rochester.edu

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1132358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1073595468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9275 COUNTY ROAD 46",
            "city": "ARKPORT",
            "state": "NY",
            "postal_code": "148079484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W MAIN ST",
            "city": "CUBA",
            "state": "NY",
            "postal_code": "147271317",
            "telephone_number": "585-968-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIDE",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-19",
        "last_updated": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008982-1",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "8982",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwaide228322@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwaide228322@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cuba, NY

Sources for this page

Verify at the official NPI Registry.