Organization Active NPI

Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
National Provider Identifier
1255360517
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2701003H Issued in NY
Legal business name
ROCHESTER GENERAL HOSPITAL
Practice address
1425 Portland Ave
Rochester, NY 14621-3001
Phone
(585) 922-4000
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

Other identifiers 6

IdentifierTypeStateIssuer
012005914OtherNYBLUE CHOICE IP
FA01916OtherNYPREFERRED CARE ED GROUP
01131126MedicaidNY
C15370OtherNYRAILROAD MEDICARE
014005914OtherNYBLUE CHOICE OP
00303315MedicaidNY

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, WI31 enrollments

Enrollment records 31

Enrollment IDStateProvider typePAC IDDetails
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

Hospital certification: CCN 330125001

Legal name
ROCHESTER GENERAL HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
1425 Portland Ave
Rochester, NY 14621-3001
Opt Extension Site
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).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations (25 of 28)

1701 N Green Valley Pkwy
Ste 7B
Henderson, NV 89074
Phone (702) 476-9700

200 Woodbine Ave
East Rochester, NY 14445
Phone (585) 248-6335

4302 Gateway Dr
Geneseo, NY 14454
Phone (585) 295-5450

12 Leach Rd
Lyons, NY 14489
Phone (315) 483-9133

1025 Brixton Dr
Macedon, NY 14502
Phone (315) 986-4022

1204 Driving Park Ave
Newark, NY 14513
Phone (315) 331-6737

2067 Fairport Nine Mile Point Rd
Penfield, NY 14526
Phone (585) 377-5420

370 E Ridge Rd
Ste 10
Rochester, NY 14621
Phone (585) 922-0300

214 Alexander St
Rochester, NY 14607
Phone (585) 922-9729

220 Alexander St
Ste 708
Rochester, NY 14607
Phone (585) 922-6200

4115 Lake Ave
Rochester, NY 14612
Phone (585) 324-9273

220 Alexander St
Rochester, NY 14607
Phone (585) 546-1272

30 Hagen Dr
Rochester, NY 14625
Phone (585) 242-9450

500 Webster Ave
Rochester, NY 14609
Phone (585) 482-9290

10 Hagen Dr
Rochester, NY 14625
Phone (585) 267-8200

1 Lomb Memorial Dr
Rochester, NY 14623
Phone (585) 475-2411

1945 E Ridge Rd
Rochester, NY 14622

2250 Brighton Henrietta Town Line Rd
Fl 2
Rochester, NY 14623
Phone (585) 424-6770

2350 Ridgeway Ave
Ste A
Rochester, NY 14626
Phone (585) 225-0410

1381 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-1700

2350 Ridgeway Ave
Ste B
Rochester, NY 14626
Phone (585) 225-0950

220 Alexander St
Ste 603
Rochester, NY 14607
Phone (585) 922-8003

1425 Portland Ave
#304
Rochester, NY 14621
Phone (585) 922-0866

1850 E Ridge Rd
Ste 11
Rochester, NY 14622
Phone (585) 336-9370

1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715

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.

NameRoleSinceShare
Julia C Tedesco Individual Corporate DirectorBoard Secretary Jul 1, 2019
Marcy Cardona Mulconry Individual Corporate DirectorBoard Member Jul 1, 2019
Marcie Salerno Individual W-2 Managing Employee Jan 1, 2021
Karen M Gallina Individual Corporate DirectorBoard Member Jul 1, 2014
Nichole S Holder Individual W-2 Managing EmployeeDirector Payor Enrollment Jul 1, 2020
Richard O Davis Individual Corporate OfficerCeo Mar 1, 2022
Howard Glastonbury Individual Corporate OfficerVice President CFP Corp. Finance May 1, 2020
W-2 Managing EmployeeVP CFP Corporate Finance May 1, 2020
Amanda Wilson Individual W-2 Managing Employee Jan 1, 2024
Leon T Sawyko Individual Corporate DirectorBoard Member Jul 1, 2014
Joseph Miles Individual W-2 Managing Employee Oct 22, 2001
Thomas P Riley Individual Corporate DirectorBoard Member Jul 1, 2014
Michael Cicero Individual Corporate Director Aug 1, 2021
Linda S Becker Individual Corporate DirectorBoard Member Jun 1, 2009
Jeffrey C. Mapstone Individual Corporate DirectorBoard Member Jul 1, 2014
Walter Larkin Individual Corporate Director Aug 1, 2021
Thomas R Crilly Individual Corporate OfficerExecutive Vice President, Cfo Apr 1, 2015
W-2 Managing EmployeeExecutive Vice President, Cfo 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.

Practitioners & affiliated clinicians

Practitioners 2,867

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 2,867

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE IP",
            "identifier": "012005914",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE ED GROUP",
            "identifier": "FA01916",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01131126",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C15370",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE OP",
            "identifier": "014005914",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00303315",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.