Individual provider Active NPI

Jennifer C McGoff, ACNP-BC

  • Acute Care Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1689769036
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
430312 Issued in NY
Practice address
370 E Ridge Rd Ste 20
Rochester, NY 14621-1239
Phone
(585) 922-0400
Fax
(585) 922-0455
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 430312 NY Primary

Addresses

Primary practice location

370 E Ridge Rd Ste 20
Rochester, NY 14621-1239

Mailing address

312 Cherry Creek Lane
Rochester, NY 14626
Phone (585) 922-0400

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
I20110419000835 NY Practitioner - Nurse Practitioner 0547445488 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Current Accepting new patients
Rochester General Hospital CurrentSince Nov 5, 2011 Accepting new patients
Rochester General Hospital CurrentSince Nov 5, 2011 Accepting new patients

Locations

370 E Ridge Rd
Ste 20
Rochester, NY 14621
Phone (585) 922-0400

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

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
#242
Rochester, NY 14621
Phone (585) 922-3662

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1689769036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CHERRY CREEK LANE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14626",
            "telephone_number": "585-922-0400",
            "fax_number": "585-922-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E RIDGE RD STE 20",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146211239",
            "telephone_number": "585-922-0400",
            "fax_number": "585-922-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGOFF",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "430312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.