Alexandra C. Codera, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2021 Winton Rd S
Rochester, NY 14618-3957

Phone

(585) 784-6400

Fax

(585) 341-2370

NPI assigned

Jun 14, 2012

Last updated

Jul 25, 2016By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: acoderapa@jewishhomeroc.medentdirect.com

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.

• Jewish Home of Rochester

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1972590206
  Medicare reassignment

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1417219569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6400",
            "fax_number": "585-341-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6400",
            "fax_number": "585-341-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODERA",
        "first_name": "ALEXANDRA",
        "middle_name": "C.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Catherine Cocilova, NP
• Christine Anne Coco
• Renee Coco
• Molly B Codding, LMSW
• Corey Michael Coddington, OD
• Tudor Alexandru Codreanu, DDS
• James Cody, CRNA
• Lindsey Cody, DDS
• Scott Joseph Cody, FNP
• Shae Cody, COTA/L

• Medical Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.