Marie Aydelotte, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

175071-1 Issued in NY

Practice address

2021 Winton Rd S
Rochester, NY 14618-3957

Phone

(585) 784-6400

Fax

(585) 341-2370

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jewish Home of Rochester

  • Skilled Nursing Facility
  • Rochester, NY
  • NPI 1972590206
  Medicare reassignment

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1558364851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6400",
            "fax_number": "585-341-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957",
            "telephone_number": "585-784-6400",
            "fax_number": "585-341-2370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYDELOTTE",
        "first_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "175071-1",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "175071-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Awuku, LPN
• Rosemary Awuor
• Lillian Ayala, CASAC
• Muddusir Mohammad Ayaz, M.D.
• April Aycock
• Lauren Ayello
• Gary Ayer
• Olivia Grace Ayer, NP
• Bethany M Ayers, DPT
• Samuel Olukayode Ayo, MD

• Geriatric Medicine (Internal Medicine) Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.