Individual provider Active NPI

Victoria Bida, RPA C

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1326083189
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006181 Issued in NY
Practice address
110 Science Pkwy
University Imaging at Science Park
Rochester, NY 14620-4251
Phone
(585) 785-5000
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006181 NY Primary

Addresses

Primary practice location

110 Science Pkwy
University Imaging at Science Park
Rochester, NY 14620-4251

Mailing address

209 Davies Ave
West Henrietta, NY 14586-8804
Phone (585) 747-5736

Other identifiers 1

IdentifierTypeStateIssuer
02366452MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6181NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1326083189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 DAVIES AVE",
            "city": "WEST HENRIETTA",
            "state": "NY",
            "postal_code": "145868804",
            "telephone_number": "585-747-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SCIENCE PKWY",
            "address_2": "UNIVERSITY IMAGING AT SCIENCE PARK",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204251",
            "telephone_number": "585-785-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIDA",
        "first_name": "VICTORIA",
        "credential": "RPA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "006181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02366452",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.