NPIMap

Individual provider Active NPI

Martha Ellen Derosia, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1336455849
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
336468 Issued in NY
Practice address
1565 Long Pond Rd
Rochester, NY 14626-4122
Phone
(585) 723-7723
NPI assigned
Aug 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 336468 NY Primary

Addresses

Primary practice location

1565 Long Pond Rd
Rochester, NY 14626-4122

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

89 Genesee St
Rochester, NY 14611-3201
Phone (585) 368-3535

Other practice location 2

16 Bank St
Batavia, NY 14020-2250
Phone (585) 344-7276

Other practice location 3

1381 E Ridge Rd Ste 5
Rochester, NY 14621-2019
Phone (585) 922-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mderosia191503@direct.rochesterregional.org Direct

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
I20110328000460 NY Practitioner - Nurse Practitioner 4880877976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

1561 Long Pond Rd
Suite 406
Rochester, NY 14626-4135
Phone (585) 368-4278

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
336468NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2025 Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Jun 1, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 26, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Jan 26, 2019 Accepting new patients

Locations

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

1561 Long Pond Rd
Ste 406
Rochester, NY 14626
Phone (585) 723-7060

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

1565 Long Pond Rd
Rochester, NY 14626
Phone (585) 723-7723

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

81 Lake Ave
Rochester, NY 14608
Phone (585) 368-6900

Interoperability endpoints

  • Direct secure messaging: mderosia191503@direct.rochesterregional.org

Organizations & group practices 6

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 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": "1282262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1336455849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "fax_number": "585-922-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-723-7723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "89 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146113201",
            "country_code": "US",
            "telephone_number": "585-368-3535",
            "fax_number": "585-368-3593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Bank St",
            "address_purpose": "LOCATION",
            "city": "Batavia",
            "state": "NY",
            "postal_code": "140202250",
            "country_code": "US",
            "telephone_number": "585-344-7276",
            "fax_number": "585-344-8190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1381 E Ridge Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146212019",
            "country_code": "US",
            "telephone_number": "585-922-2500",
            "fax_number": "585-922-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSIA",
        "first_name": "MARTHA",
        "middle_name": "ELLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "336468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mderosia191503@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1565 Long Pond Rd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.