Individual provider Active NPI

Jeffrey Richard Allen, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rochester, NY
National Provider Identifier
1396774998
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
188527 Issued in NY
Practice address
1555 Long Pond Rd
Palliative Care Medicine
Rochester, NY 14626-4122
Phone
(585) 723-7870
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 188527 NY
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 188527 NY Primary

Addresses

Primary practice location

1555 Long Pond Rd
Palliative Care Medicine
Rochester, NY 14626-4122

Mailing address

1555 Long Pond Rd
Palliative Care Medicine
Rochester, NY 14626-4122
Phone (585) 723-7870

Other identifiers 1

IdentifierTypeStateIssuer
01403543MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jallen200382@direct.rochesterregional.org

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
I20040707000544 NY Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 4385621309 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester Current Accepting new patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Dec 30, 2019 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Dec 30, 2019 Accepting new patients
Rochester General Hospital CurrentSince Dec 30, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Mar 7, 2017 Accepting new patients

Locations

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

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

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

1425 Portland Ave
#304
Rochester, NY 14621
Phone (585) 922-0866

601 Elmwood Ave
#320
Rochester, NY 14642

20 Hagen Dr
Ste 100
Rochester, NY 14625
Phone (585) 922-4020

1000 South Ave
Ste 58
Rochester, NY 14620
Phone (585) 341-6779

89 Genesee St
Rochester, NY 14611
Phone (585) 723-7000

Interoperability endpoints

  • Direct secure messaging: jallen200382@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.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1396774998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 LONG POND RD",
            "address_2": "PALLIATIVE CARE MEDICINE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-723-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LONG POND RD",
            "address_2": "PALLIATIVE CARE MEDICINE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-723-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "JEFFREY",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "188527",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "188527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01403543",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jallen200382@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1555 Long Pond Rd",
            "address_2": "Palliative Care Medicine",
            "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.