Active NPI
Mark J Mancuso, MD
- Anesthesiology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 190093
- Practice address
- 1555 Long Pond Rd
Rochester, NY 14626-4122 - Phone
- (585) 255-8966
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 190093 | NY | Primary |
Addresses
Primary practice location
1555 Long Pond Rd
Rochester, NY 14626-4122
Mailing address
PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 449-0513
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of New York at Buffalo School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
196 N St
Geneva, NY 14456-1651
Phone (315) 787-5355
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-2141
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 190093 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Rochester, P.C. | Anesthesiology | Current | Accepting new patients |
| Geneva General Hospital, Inc | Current | Accepting new patients | |
| Geneva General Hospital Inc | Anesthesiology | Current | Accepting new patients |
| Geneva General Hospital, Inc | Current | Accepting new patients | |
| U of R Anesthesiology Group | Anesthesiology | Current | Accepting new patients |
Locations
196 North St
Geneva, NY 14456
Phone (315) 787-4156
111 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2022
980 Westfall Rd
Ste 300
Rochester, NY 14618
Phone (585) 271-4480
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141
130 Allens Creek Rd
Ste 200
Rochester, NY 14618
Phone (585) 410-6545
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Geneva, NY
- NPI 1487797080
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1609806488
-
- Anesthesiology Physician
- Rochester, NY
- NPI 1760421788
-
- Anesthesiology Physician
- Geneva, NY
- NPI 1578748364
-
- Family Medicine Physician
- Clyde, NY
- NPI 1255087003
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Geneva, NY
- NPI 1952418352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467441899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2005",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130574505",
"telephone_number": "315-449-0513",
"fax_number": "315-445-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-255-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "MARK",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "190093",
"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 Jul 8, 2007; 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.