Individual provider Active NPI

Timothy Rawcliffe

  • Physician Assistant
  • Brockport, NY
National Provider Identifier
1659772010
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024943 Issued in NY
Practice address
156 West Ave
Brockport, NY 14420-1229
Phone
(585) 473-3516
NPI assigned
Sep 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 024943 NY Primary

Addresses

Primary practice location

156 West Ave
Brockport, NY 14420-1229

Mailing address

601 Elmwood Ave Box 655
Rochester, NY 14642-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141112001018 PA Practitioner - Physician Assistant 1658593496 Reassigns benefits to 2 organizations
I20200519002653 NY Practitioner - Physician Assistant 1658593496 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024943NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nicholas H. Noyes Memorial Hospital CurrentSince Oct 11, 2025 Accepting new patients
Geisinger Clinic Physician Assistant CurrentSince Nov 3, 2014 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Nov 24, 2025 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Jun 1, 2025 Accepting new patients
St James Hospital CurrentSince Oct 3, 2025 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Jun 1, 2025 Accepting new patients
Schuyler Hospital Inc CurrentSince Aug 27, 2023 Accepting new patients
The Memorial Hospital of William F. and Gertrude F. Jones, Inc. CurrentSince Nov 24, 2025 Accepting new patients
Geisinger Clinic CurrentSince Nov 3, 2014 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Dec 1, 2016 Accepting new patients
Schuyler Hospital Inc CurrentSince Aug 27, 2023 Accepting new patients
Nes Medical Services of New York PC PastSince May 22, 2022 Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

73 Buffalo St
Ste 100
Canandaigua, NY 14424

111 Clara Barton St
Dansville, NY 14437
Phone (585) 335-3100

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555

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

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

100 N Academy Ave
Danville, PA 17822

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1659772010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 655",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WEST AVE",
            "city": "BROCKPORT",
            "state": "NY",
            "postal_code": "144201229",
            "telephone_number": "585-473-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWCLIFFE",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-04",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brockport, NY

Sources for this page

Verify at the official NPI Registry.