Individual provider Active NPI

Marni Alynn Mishler, M.D.

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1194088641
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
299231 Issued in NY
Practice address
360 Linden Oaks Ste 300
Rochester, NY 14625
Phone
(585) 383-8830
Fax
(585) 383-8901
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD21615 ME
Surgery Physician 208600000X 299231 NY Primary

Addresses

Primary practice location

360 Linden Oaks Ste 300
Rochester, NY 14625

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-1900

Other practice location 1

1601 Crossbay Blvd
Broad Channel, NY 11693
Phone (928) 606-5726

Other practice location 2

181 Franklin Health Commons
Farmington, ME 04938
Phone (207) 778-6579

Other practice location 3

1561 Long Pond Rd
Rochester, NY 14626-4117
Phone (585) 383-8830

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
I20190627001078 NY Practitioner - General Surgery 8729352901 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vohra Wound Physicians of Ny PLLC 35 clinicians

Practice addresses (Care Compare)

170 Warren St
Glens Falls, NY 12801-4525
Phone (518) 793-5163

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1338
Removal of skin lesions30

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299231NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Surgery CurrentSince Jun 1, 2019 Accepting new patients
Western New York Medical Practice P.C. Surgery CurrentSince Jun 3, 2019 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2019 Accepting new patients
Vohra Wound Physicians of Ny, PLLC CurrentSince Oct 31, 2022 Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

5920 Van Doren St
Flushing, NY 11368
Phone (718) 592-2000

170 Warren St
Glens Falls, NY 12801
Phone (518) 793-5163

360 Linden Oaks
Ste 300
Rochester, NY 14625
Phone (585) 383-8830

1561 Long Pond Rd
Rochester, NY 14626
Phone (585) 368-4800

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

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

50 Main St
Ste 1000
White Plains, NY 10606
Phone (914) 216-7550

50 Main St
White Plains, NY 10606
Phone (914) 682-2137

Organizations & group practices 5

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": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1194088641",
    "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": "585-922-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 LINDEN OAKS STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14625",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Crossbay Blvd",
            "address_purpose": "LOCATION",
            "city": "Broad Channel",
            "state": "NY",
            "postal_code": "11693",
            "country_code": "US",
            "telephone_number": "928-606-5726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "181 Franklin Health Commons",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "ME",
            "postal_code": "04938",
            "country_code": "US",
            "telephone_number": "207-778-6579",
            "fax_number": "207-778-6409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1561 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264117",
            "country_code": "US",
            "telephone_number": "585-383-8830",
            "fax_number": "585-383-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISHLER",
        "first_name": "MARNI",
        "middle_name": "ALYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD21615",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "299231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.