Active NPI
Mary Heather Rosen, PA
- Physician Assistant
- Warsaw, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 011923
- Practice address
- 76 N Main Street
Warsaw, NY 14569 - Phone
- (585) 786-3503
- Fax
- (585) 786-3505
- NPI assigned
- Sep 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11923 | NY | |
| Physician Assistant | 363A00000X | 011923 | NY | Primary |
Addresses
Primary practice location
76 N Main Street
Warsaw, NY 14569
Mailing address
76 N Main St
Warsaw, NY 14569-1329
Phone (585) 786-3503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02939646 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrosen134413@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | mrosen134413@direct.urmc.rochester.edu | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Clara Barton St
Dansville, NY 14437-9503
Phone (585) 335-8639
50 E S St
Geneseo, NY 14454-1300
Phone (585) 243-9230
Hospital & facility affiliations
- Nicholas H Noyes Memorial Hospital
- Strong Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.36 of 100
- Quality
- 64.11
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 78.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011923 | NY | MD | Physician Assistant |
| 11923 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicholas H. Noyes Memorial Hospital | Current | Accepting new patients |
Locations
73 Buffalo St
Ste 100
Canandaigua, NY 14424
111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Urgent Care Clinic/Center
- Williamsville, NY
- NPI 1699416057
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1265628580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 N MAIN ST",
"city": "WARSAW",
"state": "NY",
"postal_code": "145691329",
"telephone_number": "585-786-3503",
"fax_number": "585-786-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 N MAIN STREET",
"city": "WARSAW",
"state": "NY",
"postal_code": "14569",
"telephone_number": "585-786-3503",
"fax_number": "585-786-3505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSEN",
"first_name": "MARY",
"middle_name": "HEATHER",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-20",
"last_updated": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "11923",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "011923",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02939646",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrosen134413@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrosen134413@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Warsaw, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.