Individual provider Active NPI

Amy Michelle Daley, RPA-C

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1558616474
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015682-1 Issued in NY
Practice address
500 Helendale Rd Ste 100
Rochester, NY 14609-3109
Phone
(585) 266-5420
NPI assigned
Jul 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 015682-1 NY
Physician Assistant 363A00000X 015682-1 NY Primary

Addresses

Primary practice location

500 Helendale Rd Ste 100
Rochester, NY 14609-3109

Mailing address

500 Helendale Rd Ste 100
Rochester, NY 14609-3109

Other practice location 1

2021 Winton Rd S
Rochester, NY 14618-3957
Phone (585) 784-6400

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
I20121113000531 NY Practitioner - Physician Assistant 8729239165 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helendale Dermatology and Medical Spa PLLCGroup PAC ID 6901870294, 6 clinicians

Practice addresses (Care Compare)

500 Helendale Rd
Suite 100
Rochester, NY 14609-3109
Phone (585) 266-5420

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015682-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Nov 29, 2021 Accepting new patients
The Unity Hospital of Rochester CurrentSince Nov 29, 2021 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 29, 2021 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1065 Senator Keating Blvd
Ste 240
Rochester, NY 14618
Phone (585) 256-3550

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

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1558616474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE RD STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093109",
            "telephone_number": "585-266-5420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2021 Winton Rd S",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146183957",
            "country_code": "US",
            "telephone_number": "585-784-6400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALEY",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015682-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015682-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.