Timothy J Bucklaew, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

023245 Issued in NY

Practice address

229 Parrish St Ste 100
Canandaigua, NY 14424-1791

Phone

(585) 394-1960

Fax

(585) 393-9232

NPI assigned

Jan 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians

Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Greater Rochester Orthopaedics, PCGroup PAC ID 9931091261, 11 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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tbucklaew366076@direct.rochesterregional.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western New York Medical Practice P.C.

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1063790608
  Medicare reassignment Care Compare group NPD
• Greater Rochester Orthopaedics, PC

  • Orthopaedic Surgery Physician
  • Rochester, NY
  • NPI 1023187085
  Medicare reassignment Care Compare group
• Rochester General Hospital

  dba Rochester General Medical Groups

  • Family Medicine Physician
  • Rochester, NY
  • NPI 1356412712
  Medicare reassignment Care Compare group
• The Unity Hospital of Rochester

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1760421713
  Medicare reassignment
• Western New York Medical Practice, P.C.

  • General Practice Physician
  • Geneva, NY
  • NPI 1326446485
  NPD
• Rochester General Hospital

  • General Acute Care Hospital
  • Rochester, NY
  • NPI 1063531929
  NPD (past)
• Westside Orthopaedic Group P.C.

  • Orthopaedic Surgery Physician
  • Rochester, NY
  • NPI 1346271871
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1407310741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 PARRISH ST STE 100",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241791",
            "telephone_number": "585-394-1960",
            "fax_number": "585-393-9232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Linden Oaks Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252814",
            "country_code": "US",
            "telephone_number": "585-723-3000",
            "fax_number": "585-348-9389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2115 Chili Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146243425",
            "country_code": "US",
            "telephone_number": "585-723-7600",
            "fax_number": "585-247-0075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2410 Ridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264114",
            "country_code": "US",
            "telephone_number": "585-723-3000",
            "fax_number": "585-723-2895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 Culver Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146091746",
            "country_code": "US",
            "telephone_number": "585-295-5476",
            "fax_number": "585-248-0567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Linden Oaks Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146252814",
            "country_code": "US",
            "telephone_number": "585-366-2010",
            "fax_number": "585-895-7267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Cobblestone Court Dr",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145641045",
            "country_code": "US",
            "telephone_number": "585-922-9280",
            "fax_number": "585-389-6099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Middle Rd",
            "address_purpose": "LOCATION",
            "city": "Henrietta",
            "state": "NY",
            "postal_code": "144679312",
            "country_code": "US",
            "telephone_number": "585-723-7600",
            "fax_number": "585-334-6373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLAEW",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbucklaew366076@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Rochester Regional Health",
            "address_1": "2621 Culver Rd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146091746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Catherine Brown
• Krista Brunner, MS, OTR/L
• Halie Bryan
• Amy D Bryant, ATC, LAT
• Rachel A Bryant, PSYD
• Colleen L Buckley, LMSW
• Sean Buckley, AT
• Lynsey J. Buckner, CTRS
• Nancy L Buerman
• Buffalo Vamc

• Physician Assistant in Canandaigua, NY
• Providers in Canandaigua, 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 Mar 25, 2026; 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.