Individual provider Active NPI

Corey Houghtling

  • Physician Assistant
  • Hilton, NY
National Provider Identifier
1093587149
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
031072 Issued in NY
Practice address
5688 W Wautoma Beach Rd
Hilton, NY 14468-9126
Phone
(585) 944-6317
NPI assigned
Oct 23, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 031072 NY Primary

Addresses

Primary practice location

5688 W Wautoma Beach Rd
Hilton, NY 14468-9126

Mailing address

5688 W Wautoma Beach Rd
Hilton, NY 14468-9126
Phone (585) 944-6317

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
I20240305000140 NY Practitioner - Physician Assistant 8426493123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western New York Medical Practice PC 528 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
031072NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jan 23, 2024 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Jan 23, 2024 Accepting new patients
Brighton Medicine Assoc PC Past Accepting new patients

Locations

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

995 Senator Keating Blvd
Ste 3100
Rochester, NY 14618
Phone (585) 473-1750

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

995 Senator Keating Blvd
Bldg E
Rochester, NY 14618
Phone (585) 232-2980

Interoperability endpoints

  • Direct secure messaging: choughtling382861@direct.rochesterregional.org

Organizations & group practices 3

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 2

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1093587149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5688 W WAUTOMA BEACH RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689126",
            "telephone_number": "585-944-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5688 W WAUTOMA BEACH RD",
            "city": "HILTON",
            "state": "NY",
            "postal_code": "144689126",
            "telephone_number": "585-944-6317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTLING",
        "first_name": "COREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "031072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilton, NY

Sources for this page

Verify at the official NPI Registry.