Individual provider Active NPI

Alexandria S Rivazfar, PA

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1356713945
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019196 Issued in NY
Practice address
170 Science Pkwy
Rochester, NY 14620-4251
Phone
(585) 545-7200
Fax
(585) 244-8177
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019196 NY Primary
Physician Assistant 363A00000X PA8156 MA

Addresses

Primary practice location

170 Science Pkwy
Rochester, NY 14620-4251

Mailing address

259 Monroe Ave Ste 100
Rochester, NY 14607-3632
Phone (585) 545-7200

Other practice location 1

259 Monroe Ave Ste 100
Rochester, NY 14607-3632
Phone (585) 545-7200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015002637 NY Practitioner - Physician Assistant 8921339441 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Oct 14, 2019 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

Interoperability endpoints

  • Direct secure messaging: arivazfar375419@direct.urmc.rochester.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1356713945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MONROE AVE STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146073632",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SCIENCE PKWY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204251",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-8177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "259 Monroe Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146073632",
            "country_code": "US",
            "telephone_number": "585-545-7200",
            "fax_number": "585-244-8177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAZFAR",
        "first_name": "ALEXANDRIA",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019196",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8156",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.