Individual provider Active NPI

Jillian Elizabeth Digiovanna, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1518423052
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
023305 Issued in NY
Practice address
1415 Portland Ave
Rochester, NY 14621-3038
Phone
(585) 922-4200
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 023305 NY
Medical Physician Assistant 363AM0700X 023305 NY Primary

Addresses

Primary practice location

1415 Portland Ave
Rochester, NY 14621-3038

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 922-0553

Other practice location 1

222 Alexander St Ste 1100
Rochester, NY 14607-4005
Phone (585) 922-8585

Other practice location 2

1331 E Victor Rd
Victor, NY 14564-9306
Phone (585) 498-2280

Other practice location 3

309 Upper Falls Blvd
Rochester, NY 14605-2105
Phone (585) 922-0260

Other identifiers 1

IdentifierTypeStateIssuer
14413853OtherNYCAQH

Other names 1

  • Jillian Foster Former name

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
I20190320002724 NY Practitioner - Physician Assistant 9537409073 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
023305NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Mar 1, 2019 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Mar 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Mar 1, 2019 Accepting new patients
Western New York Medical Practice P.C CurrentSince Mar 1, 2019 Accepting new patients
Planned Parenthood of the Rochester/Syracuse Region Past Accepting new patients

Locations

222 Alexander St
Ste 1100
Rochester, NY 14607
Phone (585) 922-8585

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

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

309 Upper Falls Blvd
Rochester, NY 14605
Phone (585) 922-0260

1415 Portland Ave
Rochester, NY 14621
Phone (585) 275-7741

1331 E Victor Rd
Victor, NY 14564
Phone (585) 498-2280

Interoperability endpoints

  • Direct secure messaging: jillian.foster.p4@direct.usppny.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1518423052",
    "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": "585-922-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-922-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Alexander St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074005",
            "country_code": "US",
            "telephone_number": "585-922-8585",
            "fax_number": "585-922-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 E Victor Rd",
            "address_purpose": "LOCATION",
            "city": "Victor",
            "state": "NY",
            "postal_code": "145649306",
            "country_code": "US",
            "telephone_number": "585-498-2280",
            "fax_number": "585-742-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Upper Falls Blvd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146052105",
            "country_code": "US",
            "telephone_number": "585-922-0260",
            "fax_number": "585-922-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGIOVANNA",
        "first_name": "JILLIAN",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023305",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "023305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14413853",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "FOSTER",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.