Mary E Armosino-Hoderlein, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001611 Issued in NY

Practice address

222 Alexander St
Suite 5000
Rochester, NY 14607-4039

Phone

(585) 922-8003

NPI assigned

Mar 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Maryellen Armosino-Hoderlein Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: marmosinohoderlein24910@direct.rochesterregional.org

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1205805645",
    "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": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 ALEXANDER ST",
            "address_2": "SUITE 5000",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074039",
            "telephone_number": "585-922-8003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Portland Ave Ste 17",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212727",
            "country_code": "US",
            "telephone_number": "585-922-9560",
            "fax_number": "585-467-5369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARMOSINO-HODERLEIN",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00238156",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02564661",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marmosinohoderlein24910@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1299 Portland Ave Ste 17",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146212727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARYELLEN",
            "last_name": "ARMOSINO-HODERLEIN",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chenee Armando, MD
• Alexandra Marie Armato, MD
• Youngeun Choi Armbuster, MD
• Erin Michelle Armenia, M.D.
• Nancy R Armfield, CMP
• Dawn Monique Armstrong, RN
• Jonitha Aleyse Armstrong, LPN
• Kathryn Armstrong, RN
• Maricka Pat Armstrong
• Sarah A. Armstrong, M.D.

• Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.