Individual provider Active NPI

Jina Bisen, MD

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1114582426
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
318622 Issued in NY
Practice address
222 Alexander St Ste 4100
Rochester, NY 14607-4056
Phone
(585) 922-8230
NPI assigned
May 2, 2019
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 318622 NY Primary

Addresses

Primary practice location

222 Alexander St Ste 4100
Rochester, NY 14607-4056

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2306
Phone (415) 464-5420

Other names 1

  • Jina Patel Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpatel358126@direct.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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209001888 NY Practitioner - Pediatric Medicine 0840669032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Nov 28, 2022 Accepting new patients
Rochester General Hospital Pediatrics CurrentSince Dec 6, 2022 Accepting new patients
Rochester General Hospital CurrentSince Nov 28, 2022 Accepting new patients
Rochester General Hospital PastSince Dec 6, 2022 Accepting new patients

Locations

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

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

222 Alexander St
Rochester, NY 14607
Phone (585) 546-3280

222 Alexander St
Fl 4
Rochester, NY 14607
Phone (585) 922-8070

222 Alexander St
Ste 4100
Rochester, NY 14607
Phone (585) 922-8225

Interoperability endpoints

  • Direct secure messaging: jpatel358126@direct.rochesterregional.org

Organizations & group practices 4

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": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1114582426",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST STE 4100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074056",
            "telephone_number": "585-922-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102306",
            "country_code": "US",
            "telephone_number": "415-464-5420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISEN",
        "first_name": "JINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "318622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpatel358126@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "222 Alexander St Ste 4100",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146074056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JINA",
            "last_name": "PATEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.