Individual provider Active NPI

Judith L Cavanaugh, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1568572303
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F300883 Issued in NY
Practice address
601 Elmwood Avenue Box 670
Rochester, NY 14642
Phone
(585) 276-3049
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 300883 NY
Adult Health Nurse Practitioner 363LA2200X F300883 NY Primary

Addresses

Primary practice location

601 Elmwood Avenue Box 670
Rochester, NY 14642

Mailing address

283 Tobey Rd
Pittsford, NY 14534-4716
Phone (585) 381-7572

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcavanaugh2465@direct.urmc.rochester.edu Direct

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
I20061120000226 NY Practitioner - Nurse Practitioner 0244238657 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F300883NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hematology Clinical Group Current Accepting new patients
University of Rochester CurrentSince Nov 1, 2018 Accepting new patients
U of R Plastic Surgeons CurrentSince Nov 16, 2017 Accepting new patients
University of Rochester Current Accepting new patients
Acute Care Trauma of the University of Rochester Current Accepting new patients
Highland Hospital of Rochester CurrentSince Apr 22, 2017 Accepting new patients
Highland Hospital of Rochester CurrentSince Apr 22, 2017 Accepting new patients
Cardiac Surgery of the University of Rochester Current Accepting new patients
Pulmonary Disease Clinical Group CurrentSince May 17, 2016 Accepting new patients
University of Rochester CurrentSince Nov 1, 2018 Accepting new patients
U of R Neurology Department CurrentSince Nov 1, 2018 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344

601 Elmwood Ave
#670
Rochester, NY 14642
Phone (585) 225-5767

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

435 E Henrietta Rd
Rochester, NY 14620
Phone (585) 760-5466

601 Elmwood Ave
#665
Rochester, NY 14642
Phone (585) 275-5168

Interoperability endpoints

  • Direct secure messaging: jcavanaugh2465@direct.urmc.rochester.edu

Organizations & group practices 12

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1568572303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 TOBEY RD",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344716",
            "telephone_number": "585-381-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVENUE BOX 670",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14642",
            "telephone_number": "585-276-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "JUDITH",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "300883",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F300883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcavanaugh2465@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.