Individual provider Active NPI

Jennifer Lynn Mogan, MD

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1336185065
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
234940-1 Issued in NY
Practice address
1425 Portland Ave
Rochester General Hospital
Rochester, NY 14621-3001
Phone
(585) 922-4159
Fax
(585) 922-3731
NPI assigned
Jun 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 234940-1 NY Primary

Addresses

Primary practice location

1425 Portland Ave
Rochester General Hospital
Rochester, NY 14621-3001

Mailing address

130 Allens Creek Rd
Rochester, NY 14618-3305
Phone (585) 410-6545

Other practice location 1

1200 Driving Park Ave
Newark, NY 14513-1090
Phone (315) 332-2170

Other practice location 2

1555 Long Pond Rd
Rochester, NY 14626-4164
Phone (585) 723-7000

Other practice location 3

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1417

Other identifiers 5

IdentifierTypeStateIssuer
P020234940OtherNYEXCELLUS BC/BS
103217AFOtherNYPREFERRED CARE
02784045MedicaidNY
AN234940-5WOtherNYWORKERS' COMPENSATION
P010234940OtherNYEXCELLUS BLUE CHOICE

Other names 1

  • Jennifer Hayes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmogan10805@direct.rochesterregional.org 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060817000503 NY Practitioner - Anesthesiology 5496758138 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newark Wayne Community HospitalGroup PAC ID 0446154199, 129 clinicians
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians
Clifton Springs Sanitarium CoGroup PAC ID 5092704809, 230 clinicians
Westside Anesthesia Associates of Rochester, LLPGroup PAC ID 1153222690, 13 clinicians

Practice addresses (Care Compare)

1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2266

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 723-4000

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-5711

980 Westfall Rd
Suite 300
Rochester, NY 14618-2637
Phone (585) 295-8500

Hospital & facility affiliations

  • Clifton Springs Hospital and Clinic Hospital, Clifton Springs, NY, CCN 330265
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
234940-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center Current Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Jan 1, 2025 Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Jan 19, 2025 Accepting new patients
Rochester General Hospital CurrentSince Jan 19, 2025 Accepting new patients
Newark Wayne Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 1, 2025 Accepting new patients
Westside Anesthesia Associates of Rochester, LLP Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Anesthesia Associates of Rochester, P.C. Anesthesiology CurrentSince Jul 1, 2006 Accepting new patients
United Memorial Medical Center CurrentSince Jan 1, 2025 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2266

111 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2022

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

135 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 225-0270

130 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 410-6545

130 Allens Creek Rd
Rochester, NY 14618
Phone (585) 410-6545

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

980 Westfall Rd
Ste 300
Rochester, NY 14618
Phone (585) 271-4480

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

Interoperability endpoints

  • Direct secure messaging: jmogan10805@direct.rochesterregional.org

Organizations & group practices 11

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.

Hospital & facility affiliations 8

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1336185065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ALLENS CREEK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183305",
            "telephone_number": "585-410-6545",
            "fax_number": "585-410-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PORTLAND AVE",
            "address_2": "ROCHESTER GENERAL HOSPITAL",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213001",
            "telephone_number": "585-922-4159",
            "fax_number": "585-922-3731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-332-2170",
            "fax_number": "315-359-2488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264164",
            "country_code": "US",
            "telephone_number": "585-723-7000",
            "fax_number": "585-366-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1417",
            "fax_number": "315-462-6058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOGAN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "234940-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BC/BS",
            "identifier": "P020234940",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "103217AF",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02784045",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS' COMPENSATION",
            "identifier": "AN234940-5W",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BLUE CHOICE",
            "identifier": "P010234940",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmogan10805@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1425 Portland Ave",
            "address_2": "Rochester General Hospital",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146213001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HAYES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.