Individual provider Active NPI

Rebecca Cooper-McCann, M.D. M.P.H.

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1407234222
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
295919 Issued in NY
Practice address
777 Clinton Ave S
Rochester, NY 14620-1448
Phone
(585) 279-4841
NPI assigned
May 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 295919 NY Primary

Addresses

Primary practice location

777 Clinton Ave S
Rochester, NY 14620-1448

Mailing address

777 Clinton Ave S
Rochester, NY 14620-1448
Phone (585) 279-4841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20181114001768 NY Practitioner - Family Practice 5799039590 Reassigns benefits to 1 organization
I20220607001833 NC Practitioner - Family Practice 5799039590 Reassigns benefits to 1 organization
I20230306002006 MA Practitioner - Family Practice 5799039590 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Sep 1, 2021 Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Sep 1, 2021 Accepting new patients
Cityblock Medical Practice, P.a. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients

Locations

100 Grove St
Ste 115
Worcester, MA 01605
Phone (347) 463-5529

4444 The Plaza
Unit 18
Charlotte, NC 28215

4444 The Plaza
Charlotte, NC 28215
Phone (336) 360-2407

1439 E Cone Blvd
Greensboro, NC 27405
Phone (336) 375-6104

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

495 Flatbush Ave
Brooklyn, NY 11225
Phone 80033611001

55 Water St
#4C
Brooklyn, NY 11201
Phone (917) 718-2063

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

Interoperability endpoints

  • Direct secure messaging: rebecca.cooper-mccann@217526021193732.direct.elationemr.com
  • Direct secure messaging: rebecca.cooper-mccann.1@30093.direct.athenahealth.com
  • Direct secure messaging: riley.cooper-mccann@145331296403460.direct.elationemr.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 3

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": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1407234222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201448",
            "telephone_number": "585-279-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201448",
            "telephone_number": "585-279-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-MCCANN",
        "first_name": "REBECCA",
        "credential": "M.D. M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "295919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.