Individual provider Active NPI

Anthony Inzana, P.A.

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1164468872
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005379 Issued in NY
Practice address
30 Erie Canal Drive
Suite G
Rochester, NY 14626
Phone
(585) 227-3950
Fax
(585) 227-9047
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 005379 NY Primary

Addresses

Primary practice location

30 Erie Canal Drive
Suite G
Rochester, NY 14626

Mailing address

30 Erie Canal Drive
Suite G
Rochester, NY 14626
Phone (585) 227-3950

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
I20040401000006 NY Practitioner - Physician Assistant 8123010964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Practice addresses (Care Compare)

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

1445 Portland Ave
Rochester, NY 14621-3008

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice, P.C. CurrentSince Jul 1, 2025 Accepting new patients
Boev Medical, PLLC Physician Assistant CurrentSince Jun 3, 2024 Accepting new patients
Louis H. Medved MD CurrentSince Jan 29, 2023 Accepting new patients
University Orthopaedic Associates of Rochester CurrentSince Jun 1, 2006 Accepting new patients
Sypert Institute PA Past Accepting new patients
Rochester General Hospital Past Accepting new patients
Sypert Institute PA Past Accepting new patients

Locations

183 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 342-2638

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

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

30 Erie Canal Dr
Ste G
Rochester, NY 14626
Phone (585) 227-3106

1445 Portland Ave
Ste 309
Rochester, NY 14621
Phone (585) 342-2638

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1164468872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ERIE CANAL DRIVE",
            "address_2": "SUITE G",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-227-3950",
            "fax_number": "585-227-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ERIE CANAL DRIVE",
            "address_2": "SUITE G",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-227-3950",
            "fax_number": "585-227-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZANA",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.