Active NPI
Maureen C Ta, NP
- Adult Health Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 306484
- Practice address
- 1415 Portland Ave Ste 220
Rochester, NY 14621-3039 - Phone
- (585) 922-4496
- Fax
- (585) 922-4442
- NPI assigned
- Jun 14, 2013
- Last updated
- Feb 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 306484 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave Ste 220
Rochester, NY 14621-3039
Mailing address
100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-4496
Other practice location 1
1561 Long Pond Rd Ste 216
Rochester, NY 14626-4135
Phone (585) 922-4496
Other practice location 2
20 Hagen Dr
Rochester, NY 14625-2666
Phone (585) 922-4020
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients |
Locations
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1415 Portland Ave
Ste 220
Rochester, NY 14621
Phone (585) 922-4496
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
1561 Long Pond Rd
Ste 216
Rochester, NY 14626
Phone (585) 368-4050
20 Hagen Dr
Rochester, NY 14625
Phone 5859224020 ext. 25822
3101 W Ridge Rd
Bldg D
Rochester, NY 14626
Phone (585) 225-1580
1682 Empire Blvd
Webster, NY 14580
Phone (585) 671-6790
Interoperability endpoints
- mta118184@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1174990303
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Unity Physician Services
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1427497247",
"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",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE STE 220",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213039",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442"
}
],
"practiceLocations": [
{
"address_1": "1561 Long Pond Rd Ste 216",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264135",
"country_code": "US",
"telephone_number": "585-922-4496",
"fax_number": "585-922-4442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Hagen Dr",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146252666",
"country_code": "US",
"telephone_number": "585-922-4020",
"fax_number": "585-922-4622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TA",
"first_name": "MAUREEN",
"middle_name": "C",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "306484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.