Active NPI
Rochester General Hospital
- General Acute Care Hospital
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 2701003H
- Legal business name
- ROCHESTER GENERAL HOSPITAL
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3001 - Phone
- (585) 922-4000
- NPI assigned
- Jun 30, 2006
- Last updated
- Jun 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Tinch
- Title
- SVP- Finance
- Phone
- (585) 922-1223
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| General Acute Care Hospital | 282N00000X | 2701003H | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3001
Mailing address
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, WA, CA, TX, NM, CO, PA, NJ, MD, OH, GA, SC, MN, NC, NH, MA, UT, CT, IL, KS, FL, MI, KY, OR, NV, AZ, WV, TN, IA, WI
Enrollment records 31
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000644 | NY | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 2,800 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20061017000162 | NY | Part A Provider - Hospital | 0244149474 | 3 other NPIs on this enrollment |
| O20200819001791 | WA | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 2 practitioners Practice locations: Kingston, WA; Seattle, WA; Arlington, WA |
| O20201008001164 | CA | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 9 practitioners Practice locations: Agoura Hills, CA; Walnut, CA; Thousand Oaks, CA; South Pasadena, CA; Rancho Cucamonga, CA; Oak Park, CA; Newark, CA; Ladera Ranch, CA… |
| O20220824000200 | TX | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 8 practitioners Practice locations: San Antonio, TX; North Richland Hills, TX; Houston, TX; Fredericksburg, TX; Edinburg, TX; Dallas, TX; Beaumont, TX; Austin, TX |
| O20220824000561 | NM | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Los Alamos, NM |
| O20220824001445 | CO | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 3 practitioners Practice locations: Carbondale, CO; Castle Pines, CO; Golden, CO; Lakewood, CO |
| O20220829000001 | PA | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 3 practitioners Practice locations: Newtown Square, PA; Philadelphia, PA |
| O20220829000034 | NJ | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 2 practitioners Practice locations: Basking Ridge, NJ; Margate City, NJ |
| O20220829000109 | MD | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 3 practitioners Practice locations: Berlin, MD; Laurel, MD; Lutherville Timonium, MD |
| O20220830000638 | OH | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 2 practitioners Practice locations: Akron, OH; Hudson, OH |
| O20220921000070 | GA | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 3 practitioners Practice locations: Brookhaven, GA; Griffin, GA; Savannah, GA |
| O20220921001687 | SC | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 2 practitioners Practice locations: Myrtle Beach, SC; Greenville, SC |
| O20220923002168 | MN | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 2 practitioners Practice locations: Sartell, MN |
| O20220929002184 | NC | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 4 practitioners Practice locations: Chapel Hill, NC; Denver, NC; Raleigh, NC |
| O20230131002380 | NH | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Madbury, NH |
| O20230131002866 | MA | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 3 practitioners Practice locations: Arlington, MA; West Stockbridge, MA; Franklin, MA |
| O20230504002907 | UT | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Salt Lake City, UT |
| O20230509001737 | CT | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 3 practitioners Practice locations: Greenwich, CT; New Canaan, CT; West Hartford, CT |
| O20230510000895 | IL | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: South Barrington, IL |
| O20230602001385 | KS | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Concordia, KS |
| O20230831000055 | FL | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 8 practitioners Practice locations: Davie, FL; Gulf Breeze, FL; Naples, FL; Ponte Vedra Beach, FL; Sarasota, FL; Tallahassee, FL |
| O20230922000637 | MI | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 2 practitioners Practice locations: Leland, MI; Midland, MI |
| O20231005000689 | KY | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Louisville, KY |
| O20240320004173 | OR | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Eugene, OR |
| O20240710001891 | NV | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
| O20241113002480 | AZ | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsdale, AZ |
| O20241124000084 | WV | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 1 practitioner Practice locations: Lewisburg, WV |
| O20241213002510 | TN | Part B Supplier - Clinic/Group Practice | 8224036835 |
Receives reassigned benefits from 2 practitioners Practice locations: Rockwood, TN; Lynnville, TN |
| O20250429001546 | IA | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 2 practitioners Practice locations: Cedar Falls, IA; Urbandale, IA; Waukee, IA |
| O20250923002455 | WI | Part B Supplier - Clinic/Group Practice | 0244149474 |
Receives reassigned benefits from 1 practitioner Practice locations: Waunakee, WI |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1255360517. Details of each certification follow.
Hospital certification: CCN 330125001
- Legal name
- ROCHESTER GENERAL HOSPITAL
- Organization structure
- Corporation
- Enrollment address
- 1425 Portland Ave
Rochester, NY 14621-3001 - Hospital subgroups
- General
Other NPIs with the same Medicare PAC ID 6
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Rochester General Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rochester, NY
- NPI 1063454619
0244149474
-
dba Rochester General Hospital-Psych
- Psychiatric Hospital Unit
- Rochester, NY
- NPI 1174620629
0244149474
-
dba Wilson Pharmacy
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1255847489
0244149474
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
0244149474, 8224036835
-
dba Bay Creek Dialysis Center
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webster, NY
- NPI 1447685342
8224036835
-
dba Riedman Pharmacy
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1871070409
0244149474
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
O20031121000644, O20061017000162
-
dba Genesee Health Services
- Internal Medicine Physician
- Rochester, NY
- NPI 1760557656
O20031121000644, O20061017000162
-
dba Wayne Medical Group
- Internal Medicine Physician
- Sodus, NY
- NPI 1821163718
O20031121000644, O20061017000162
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1861568594
O20031121000644
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
39 N San Mateo Dr
Ste 4
San Mateo, CA 94401
Phone (650) 343-7775
200 Woodbine Ave
East Rochester, NY 14445
Phone (585) 248-6335
1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266
1204 Driving Park Ave
Newark, NY 14513
Phone (315) 331-6737
2067 Nine Mile Point Rd
Ste 110
Penfield, NY 14526
Phone (585) 922-0460
1299 Portland Ave
Rochester, NY 14621
Phone (585) 266-3300
1381 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-1700
1415 Portland Ave
Ste 125
Rochester, NY 14621
Phone (585) 922-3970
1415 Portland Ave
Ste 190
Rochester, NY 14621
Phone (585) 336-5000
180 Ridgeway Ave
Rochester, NY 14615
Phone (585) 235-2820
181 Lomb Memorial Dr
Rochester, NY 14623
Phone (585) 922-3100
1850 E Ridge Rd
Ste 11
Rochester, NY 14622
Phone (585) 336-9370
1945 E Ridge Rd
Rochester, NY 14622
2118 Hudson Ave
Rochester, NY 14617
Phone (585) 266-3880
214 Alexander St
Rochester, NY 14607
Phone (585) 922-9729
220 Alexander St
Rochester, NY 14607
Phone (585) 546-1272
220 Alexander St
Ste 603
Rochester, NY 14607
Phone (585) 922-8003
222 Alexander St
Ste 1100
Rochester, NY 14607
Phone (585) 922-8585
2250 Brighton Henrietta Town Line Rd
Fl 2
Rochester, NY 14623
Phone (585) 424-6770
2255 E Ridge Rd
Ste 7
Rochester, NY 14622
2350 Ridgeway Ave
Ste A
Rochester, NY 14626
Phone (585) 225-0410
370 E Ridge Rd
Ste 10
Rochester, NY 14621
Phone (585) 922-0300
4115 Lake Ave
Rochester, NY 14612
Phone (585) 324-9273
625 Scio St
Rochester, NY 14605
Phone (585) 262-8850
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Julia C Tedesco | Corporate Director | Jul 1, 2019 | |
| Marcy Cardona Mulconry | Corporate Director | Jul 1, 2019 | |
| Marcie Salerno | W-2 Managing Employee | Jan 1, 2021 | |
| Karen M Gallina | Corporate Director | Jul 1, 2014 | |
| Nichole S Holder | W-2 Managing Employee | Jul 1, 2020 | |
| Richard O Davis | Corporate Officer | Mar 1, 2022 | |
| Howard Glastonbury | Corporate Officer | May 1, 2020 | |
| W-2 Managing Employee | May 1, 2020 | ||
| Amanda Wilson | W-2 Managing Employee | Jan 1, 2024 | |
| Leon T Sawyko | Corporate Director | Jul 1, 2014 | |
| Joseph Miles | W-2 Managing Employee | Oct 22, 2001 | |
| Thomas P Riley | Corporate Director | Jul 1, 2014 | |
| Michael Cicero | Corporate Director | Aug 1, 2021 | |
| Linda S Becker | Corporate Director | Jun 1, 2009 | |
| Jeffrey C. Mapstone | Corporate Director | Jul 1, 2014 | |
| Walter Larkin | Corporate Director | Aug 1, 2021 | |
| Thomas R Crilly | Corporate Officer | Apr 1, 2015 | |
| W-2 Managing Employee | Apr 1, 2015 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Obstetrics & Gynecology Physician
- Rochester, NY
- NPI 1922017433
Corporate Director
Practitioners & affiliated clinicians
Practitioners 2,804
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403568000000",
"number": "1255360517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCHESTER GENERAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2014-06-24",
"status": "A",
"authorized_official_last_name": "TINCH",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "SVP- FINANCE",
"authorized_official_telephone_number": "585-922-1223"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "NY",
"license": "2701003H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
- Rochester General Hospital
- Rochester General Hospital
- Rochester General Hospital (Rochester General Hospital-Psych)
- Rochester General Hospital
- Rochester General Hospital
- Rochester General Hospital (Wilson Pharmacy)
- Rochester General Hospital
- Rochester General Hospital (Rochester General -Rehab)
- Rochester General Hospital (Rochester General Medical Groups)
- Rochester General Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.