Organization Active NPI

Mark L Sarnov MD PLLC

  • Primary Care Clinic/Center
  • Rochester, NY
National Provider Identifier
1588249262
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MARK L SARNOV MD PLLC
Practice address
1379 W Ridge Rd
Rochester, NY 14615-2412
Phone
(585) 684-3556
Fax
(585) 360-1701
NPI assigned
Mar 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Dr. Mark Larry Sarnov, MDNPI 1366409815
Title
Owner
Phone
(585) 684-3556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1379 W Ridge Rd
Rochester, NY 14615-2412

Mailing address

1379 W Ridge Rd
Rochester, NY 14615-2412
Phone (585) 684-3556

Other identifiers 1

IdentifierTypeStateIssuer
01777619MedicaidNY

Other names 1

  • Harmony Health of Western New York Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drsarnov@hhwny.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210408000871 NY Part B Supplier - Clinic/Group Practice 2567879646 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2254060Mark L Sarnov MD PLLC1379 W Ridge Rd, Rochester, NY 14615Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

3545 Buffalo Rd
Ste 6
Rochester, NY 14624

Interoperability endpoints

  • Direct secure messaging: drsarnov@hhwny.medentdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1588249262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146152412",
            "telephone_number": "585-684-3556",
            "fax_number": "585-360-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1379 W RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146152412",
            "telephone_number": "585-684-3556",
            "fax_number": "585-360-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L SARNOV MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "SARNOV",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-684-3556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01777619",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drsarnov@hhwny.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "MEDENT",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1379 W Ridge Rd",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harmony Health of Western New York",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harmony Health of Western New York",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.