Kaitlyn Rose Kaminski, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

020932 Issued in NY

Practice address

60 Barrett Dr Ste a
Webster, NY 14580-2963

Phone

(585) 872-1003

Fax

(585) 872-1004

NPI assigned

Jun 29, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Urgent Care Center LLCGroup PAC ID 9739456229, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Cornerstone Urgent Care Center LLC

  dba Cornerstone Urgent Care Center

  • Urgent Care Clinic/Center
  • Rochester, NY
  • NPI 1932647955
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1396266490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HALLOCK RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146244030",
            "telephone_number": "585-469-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BARRETT DR STE A",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802963",
            "telephone_number": "585-872-1003",
            "fax_number": "585-872-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKI",
        "first_name": "KAITLYN",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "020932",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Jean Jerzak
• Emily Conrad Johnston, RPA-C
• Joseph Van Cura OD PC
• Jillian Marie Joy
• Christopher Juliano, D.M.D
• Jodi Lee Kania, OT
• Harold A Kanthor, M.D.
• Barton Kaplan, MD
• Katherine Anne, D.C. Corrective Chiropractic, PLLC
• Katz Family Dentistry, P.C.

• Physician Assistant in Webster, NY
• Providers in Webster, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.