Active NPI
Nicolyn Babbar, PA
- Physician Assistant
- Rochester, NY
National Provider Identifier
1073605143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005934
- Practice address
- 435 E Henrietta Rd
Rochester, NY 14620-4629 - Phone
- (585) 760-5466
- Fax
- (585) 760-5467
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005934 | NY | Primary |
Addresses
Primary practice location
435 E Henrietta Rd
Rochester, NY 14620-4629
Mailing address
435 E Henrietta Rd
Highland Hospital of Rochester
Rochester, NY 14620-4629
Phone (585) 760-5466
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02565135 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005934 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1073605143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 E HENRIETTA RD",
"address_2": "HIGHLAND HOSPITAL OF ROCHESTER",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204629",
"telephone_number": "585-760-5466",
"fax_number": "585-760-5467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 E HENRIETTA RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204629",
"telephone_number": "585-760-5466",
"fax_number": "585-760-5467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BABBAR",
"first_name": "NICOLYN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02565135",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.