NPIMap

Organization Active NPI

Sleep Insights Medical Associates PLLC

  • Specialist
  • Rochester, NY
National Provider Identifier
1457728420
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
257520-1 Issued in NY
Legal business name
SLEEP INSIGHTS MEDICAL ASSOCIATES PLLC
Practice address
755 Jefferson Rd Ste 110
Rochester, NY 14623-3270
Phone
(585) 385-6070
Fax
(508) 437-8430
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Authorized official

Name
Jacob Dominik, MDNPI 1629233861
Title
Owner
Phone
(585) 385-6070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 257520-1 NY Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X 257520-1 NY
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

755 Jefferson Rd Ste 110
Rochester, NY 14623-3270

Mailing address

755 Jefferson Rd Ste 110
Rochester, NY 14623-3270
Phone (585) 385-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160317002038 NY Part B Supplier - Clinic/Group Practice 8325345325 Receives reassigned benefits from 12 practitioners
Practice locations: Rochester, NY; Niagara Falls, NY; East Syracuse, NY; Dansville, NY; Geneseo, NY

National Provider Directory

National Provider Directory

Locations

47A Batavia City Ctr
Batavia, NY 14020
Phone (585) 219-4330

2625 Delaware Ave
Ste 102104
Buffalo, NY 14216
Phone (716) 332-0404

2 Milton St
Dansville, NY 14437
Phone (585) 335-4285

111 Clara Barton St
Slp Lab
Dansville, NY 14437

6713 Collamer Rd
East Syracuse, NY 13057
Phone (315) 449-0117

2676 W State St
Olean, NY 14760
Phone (716) 379-8538

755 Jefferson Ave
Ste 110
Rochester, NY 14611

755 Jefferson Rd
Ste 110
Rochester, NY 14623
Phone (585) 419-7948

2300 Buffalo Rd
Bldg 400C
Rochester, NY 14624

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1457728420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 JEFFERSON RD STE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233270",
            "telephone_number": "585-385-6070",
            "fax_number": "585-385-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 JEFFERSON RD STE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233270",
            "telephone_number": "585-385-6070",
            "fax_number": "508-437-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEP INSIGHTS MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "DOMINIK",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-385-6070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "257520-1",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NY",
            "license": "257520-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.