NPIMap

Individual provider Active NPI

Nolan Thomas Bernardi, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1306613898
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030871-01 Issued in NY
Practice address
2655 Ridgeway Ave Ste 420
Rochester, NY 14626-4296
Phone
(585) 723-7972
NPI assigned
Dec 5, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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 030871-01 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave Ste 420
Rochester, NY 14626-4296

Mailing address

63 Armetale Luster
Webster, NY 14580-2471
Phone (585) 500-9537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240401001939 NY Practitioner - Physician Assistant 1456799188 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

2655 Ridgeway Ave
Rochester, NY 14626-4296

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
030871NYMDOccupational Therapist
030871-01NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Feb 28, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 28, 2024 Accepting new patients
United Memorial Medical Center CurrentSince Feb 28, 2024 Accepting new patients
The Unity Hospital of Rochester CurrentSince Feb 28, 2024 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

229 Summit St
Ste 1
Batavia, NY 14020
Phone (585) 343-4440

3 Handley St
Perry, NY 14530
Phone (585) 237-3227

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1425 Portland Ave
Ste 445
Rochester, NY 14621
Phone (585) 922-4111

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

2655 Ridgeway Ave
Ste 420
Rochester, NY 14626
Phone (585) 723-7705

Interoperability endpoints

  • Direct secure messaging: nbernardi386805@direct.rochesterregional.org

Organizations & group practices 7

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1306613898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 ARMETALE LUSTER",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802471",
            "telephone_number": "585-500-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE STE 420",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-723-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "NOLAN",
        "middle_name": "THOMAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030871-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.