Individual provider Active NPI

Haley Renee Guidice, PA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1508529777
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1100 Long Pond Rd Ste 250
Rochester, NY 14626-1186
Phone
(585) 368-4350
Fax
(585) 227-7324
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027580 NY
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1100 Long Pond Rd Ste 250
Rochester, NY 14626-1186

Mailing address

PO Box 10757
Rochester, NY 14610-0757
Phone (585) 922-1900

Other identifiers 1

IdentifierTypeStateIssuer
06875194MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hguidice339326@direct.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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211203001316 NY Practitioner - Physician Assistant 0648660738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1100 Long Pond Rd
Suite 250
Rochester, NY 14626-1186
Phone (585) 368-4350

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

500 Island Cottage Rd
Rochester, NY 14612-2308
Phone (585) 368-6040

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027580NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Jan 9, 2023 Accepting new patients

Locations

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

777 Canal View Blvd
Ste 400
Rochester, NY 14623
Phone (585) 244-3430

1100 Long Pond Rd
Ste 250
Rochester, NY 14626
Phone (585) 368-4350

Interoperability endpoints

  • Direct secure messaging: hguidice339326@direct.rochesterregional.org
  • Direct secure messaging: hguidice360479@direct.rochesterregional.org

Organizations & group practices 3

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1508529777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10757",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146100757",
            "telephone_number": "585-922-1900",
            "fax_number": "585-922-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LONG POND RD STE 250",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146261186",
            "telephone_number": "585-368-4350",
            "fax_number": "585-227-7324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDICE",
        "first_name": "HALEY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027580",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06875194",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hguidice339326@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1100 Long Pond Rd Ste 250",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146261186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.