Individual provider Active NPI

Emily C Duke, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1205117629
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015049-1 Issued in NY
Practice address
259 Monroe Ave
Rochester, NY 14607-3632
Phone
(585) 545-7200
Fax
(585) 244-8177
NPI assigned
Aug 30, 2011
Last updated
Oct 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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 015049-1 NY Primary

Addresses

Primary practice location

259 Monroe Ave
Rochester, NY 14607-3632

Mailing address

259 Monroe Ave
Rochester, NY 14607-3632
Phone (585) 545-7200

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
I20110926000638 NY Practitioner - Physician Assistant 1850562737 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015049NYMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
015049-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Health, Inc CurrentSince Apr 1, 2019 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Jan 1, 2018 Accepting new patients
Trillium Health, Inc Past Accepting new patients

Locations

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

259 Monroe Ave
Ste 100
Rochester, NY 14607
Phone (585) 210-4175

Interoperability endpoints

  • Direct secure messaging: eduke48087@direct.urmc.rochester.edu

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1205117629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "EMILY",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015049-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.