Individual provider Active NPI

Jacquelyn Cullen Howitt, MD

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1407816804
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
176957 Issued in NY
Practice address
500 Helendale Rd
Lle-10
Rochester, NY 14609-3173
Phone
(585) 266-1220
Fax
(585) 266-1227
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 176957 NY Primary
Maternal & Fetal Medicine Physician 207VM0101X 176957 NY

Addresses

Primary practice location

500 Helendale Rd
Lle-10
Rochester, NY 14609-3173

Mailing address

500 Helendale Rd
Lle-10
Rochester, NY 14609-3173
Phone (585) 266-1220

Other identifiers 3

IdentifierTypeStateIssuer
010176957OtherNYEXCELLUS BCBS
101270CKOtherNYPREFERRED CARE
01152607MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100810000255 NY Practitioner - Obstetrics/Gynecology 5395841639 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176957NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Health, Inc CurrentSince Jun 1, 2019 Accepting new patients
Trillium Health, Inc CurrentSince Jun 1, 2019 Accepting new patients
Anesthesia Associates of Rochester, P.C. Past Accepting new patients
Dinolfo Urban LLP Obstetrics & Gynecology Past Accepting new patients

Locations

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

Organizations & group practices 4

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1407816804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "LLE-10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-266-1220",
            "fax_number": "585-266-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD",
            "address_2": "LLE-10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093173",
            "telephone_number": "585-266-1220",
            "fax_number": "585-266-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWITT",
        "first_name": "JACQUELYN",
        "middle_name": "CULLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "176957",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "176957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "010176957",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101270CK",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01152607",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.