Individual provider Active NPI

Brenda Saporito, RPA-C

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1376574731
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
009360 Issued in NY
Practice address
99 Canal Landing Blvd
Suite 10
Rochester, NY 14626-5112
Phone
(585) 225-9213
Fax
(585) 225-7490
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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 009360 NY Primary

Addresses

Primary practice location

99 Canal Landing Blvd
Suite 10
Rochester, NY 14626-5112

Mailing address

99 Canal Landing Blvd
Suite 10
Rochester, NY 14626-5112
Phone (585) 225-9213

Other identifiers 2

IdentifierTypeStateIssuer
P019009360OtherNYEXCELLUS
000927215001OtherNYHEALTHNOW

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
I20140605000035 NY Practitioner - Physician Assistant 8325262751 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009360NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Past Accepting new patients

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1376574731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CANAL LANDING BLVD",
            "address_2": "SUITE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265112",
            "telephone_number": "585-225-9213",
            "fax_number": "585-225-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CANAL LANDING BLVD",
            "address_2": "SUITE 10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265112",
            "telephone_number": "585-225-9213",
            "fax_number": "585-225-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPORITO",
        "first_name": "BRENDA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "009360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS",
            "identifier": "P019009360",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000927215001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.