Individual provider Active NPI

Gaylinn Marie Greenwood, MD

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1467489237
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
178123 Issued in NY
Practice address
2260 Lake Avenue
Suite 1000
Rochester, NY 14612
Phone
(585) 254-1850
Fax
(585) 254-0549
NPI assigned
Jun 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 178123 NY Primary

Addresses

Primary practice location

2260 Lake Avenue
Suite 1000
Rochester, NY 14612

Mailing address

2260 Lake Avenue
Suite 1000
Rochester, NY 14612
Phone (585) 254-1850

Other practice location 1

23 Ontario St
Honeoye Falls, NY 14472-1149
Phone (585) 624-2121

Other identifiers 8

IdentifierTypeStateIssuer
101288BFOtherPREFERRED CARE
7422051OtherAETNA
000911445002OtherHEALTH NOW
1781236WCFPOtherWORKERS COMP
2506964OtherGHI
01684968MedicaidNY
P010178123OtherBLUE SHIELD
P010178123OtherEXCELLUS PLANS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gaylinn.greenwood@rochesterregional.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000809 NY Practitioner - Family Practice 1254239619 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
178123NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
The Unity Hospital of Rochester Past Accepting new patients

Locations

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 2

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1467489237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 LAKE AVENUE",
            "address_2": "SUITE 1000",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14612",
            "telephone_number": "585-254-1850",
            "fax_number": "585-254-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 LAKE AVENUE",
            "address_2": "SUITE 1000",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14612",
            "telephone_number": "585-254-1850",
            "fax_number": "585-254-0549"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Ontario St",
            "address_purpose": "LOCATION",
            "city": "Honeoye Falls",
            "state": "NY",
            "postal_code": "144721149",
            "country_code": "US",
            "telephone_number": "585-624-2121",
            "fax_number": "585-624-7283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENWOOD",
        "first_name": "GAYLINN",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "178123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101288BF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7422051",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NOW",
            "identifier": "000911445002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "1781236WCFP",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2506964",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01684968",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "P010178123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS PLANS",
            "identifier": "P010178123",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gaylinn.greenwood@rochesterregional.org",
            "affiliation": "N",
            "address_1": "23 Ontario St",
            "city": "Honeoye Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144721149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.