Individual provider Active NPI

Mariah K. Rittwage, PA-C

  • Medical Physician Assistant
  • Hornell, NY
National Provider Identifier
1073996930
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
021892 Issued in NY
Practice address
111 Loder St Ste a
Hornell, NY 14843-1950
Phone
(607) 324-5404
Fax
(607) 324-5463
NPI assigned
Jul 9, 2015
Sex
Female
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 21892 NY
Medical Physician Assistant 363AM0700X 021892 NY Primary

Addresses

Primary practice location

111 Loder St Ste a
Hornell, NY 14843-1950

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (607) 324-5404

Other names 1

  • Mariah K. Easton Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mrittwage228783@direct.urmc.rochester.edu Direct
Direct Messaging Address mrittwage228783@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: 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
I20180418002230 NY Practitioner - Physician Assistant 5890009344 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St James HospitalGroup PAC ID 0345154480, 130 clinicians

Practice addresses (Care Compare)

7309 Seneca Rd N
Hornell, NY 14843-9691

7329 Seneca Rd N
Hornell, NY 14843-9684
Phone (607) 247-2200

Hospital & facility affiliations

  • St James Hospital Hospital, Hornell, NY, CCN 330151
  • Nicholas H Noyes Memorial Hospital Hospital, Dansville, NY, CCN 330238
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21892NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce W Mackellar MD PC CurrentSince Feb 2, 2020 Accepting new patients
Rochester General Hospital CurrentSince Mar 1, 2020 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Mar 1, 2020 Accepting new patients
Rochester General Hospital CurrentSince Mar 1, 2020 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Mar 1, 2020 Accepting new patients
St James Mercy Hospital Past Accepting new patients

Locations

86 River St
Hornell, NY 14843
Phone (607) 282-5201

111 Loder St
#A
Hornell, NY 14843
Phone (607) 324-5404

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

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

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

Interoperability endpoints

  • Direct secure messaging: mrittwage228783@direct.urmc.rochester.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGEIAA/Endpoint/CGEIAA

Organizations & group practices 10

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 4

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": "1436400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1073996930",
    "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": "607-324-5404",
            "fax_number": "607-324-5463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LODER ST STE A",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431950",
            "telephone_number": "607-324-5404",
            "fax_number": "607-324-5463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITTWAGE",
        "first_name": "MARIAH",
        "middle_name": "K.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-09",
        "last_updated": "2023-07-03",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "21892",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "021892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mrittwage228783@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": "mrittwage228783@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": [
        {
            "first_name": "MARIAH",
            "last_name": "EASTON",
            "middle_name": "K.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hornell, NY

Sources for this page

Verify at the official NPI Registry.