Active NPI
Assanatu Iddrissu, CNM
- Midwife
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 001856
- Practice address
- 1425 Portland Ave
Rochester, NY 14621-3001 - Phone
- (585) 922-4000
- NPI assigned
- Aug 25, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 332332 | OH | |
| Midwife | 176B00000X | 001856 | NY | Primary |
Addresses
Primary practice location
1425 Portland Ave
Rochester, NY 14621-3001
Mailing address
1100 Ring Neck Dr
Blacklick, OH 43004-7035
Phone (614) 316-2702
Other practice location 1
1555 Long Pond Rd
Rochester, NY 14626-4122
Phone (585) 368-4020
Other practice location 2
165 Main St
Ossining, NY 10562-4702
Phone (914) 632-2737
Other practice location 3
1100 Ring Neck Dr
Blacklick, OH 43004-7035
Phone (614) 316-2702
Other practice location 4
2 Coulter Rd Ste 2660
Clifton Springs, NY 14432-1122
Phone (315) 462-1125
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332332 | OH | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Clifton Springs Sanitarium Co | Current | Accepting new patients | |
| Open Door Family Medical Center Inc | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients | |
| Clifton Springs Sanitarium Company | Past | Accepting new patients | |
| Phelps Memorial Hospital Association | Past | Accepting new patients | |
| Open Door Family Medical Center, Inc. | Past | Accepting new patients |
Locations
2 Coulter Rd
Ste 2660
Clifton Springs, NY 14432
Phone (315) 210-6280
2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472
165 Main St
Ossining, NY 10562
Phone (914) 941-1263
2 Church St
Ossining, NY 10562
Phone (914) 502-1415
5 Grace Church St
Port Chester, NY 10573
Phone (914) 937-8899
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- aiddrissu4080390@nychhc.direct-ci.com
- aiddrissu56090@northwell.direct-ci.com
- https://fhir4.healow.com/fhir/r4/EAJCAA
Organizations & group practices 13
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.
-
dba Clifton Springs Hospital and Clinic
- General Acute Care Hospital
- Clifton Springs, NY
- NPI 1366505463
-
- Federally Qualified Health Center (FQHC)
- Port Chester, NY
- NPI 1285893719
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
- Federally Qualified Health Center (FQHC)
- Saugerties, NY
- NPI 1780166645
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1104149301
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Unity Physician Services
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1730585522
-
dba Jacobi Medical Center
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
-
- Federally Qualified Health Center (FQHC)
- Ossining, NY
- NPI 1467487637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1700166568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 RING NECK DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047035",
"telephone_number": "614-316-2702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213001",
"telephone_number": "585-922-4000"
}
],
"practiceLocations": [
{
"address_1": "1555 Long Pond Rd",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146264122",
"country_code": "US",
"telephone_number": "585-368-4020",
"fax_number": "585-368-4019",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "165 Main St",
"address_purpose": "LOCATION",
"city": "Ossining",
"state": "NY",
"postal_code": "105624702",
"country_code": "US",
"telephone_number": "914-632-2737",
"fax_number": "914-941-8626",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Ring Neck Dr",
"address_purpose": "LOCATION",
"city": "Blacklick",
"state": "OH",
"postal_code": "430047035",
"country_code": "US",
"telephone_number": "614-316-2702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Coulter Rd Ste 2660",
"address_purpose": "LOCATION",
"city": "Clifton Springs",
"state": "NY",
"postal_code": "144321122",
"country_code": "US",
"telephone_number": "315-462-1125",
"fax_number": "315-462-1494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IDDRISSU",
"first_name": "ASSANATU",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "332332",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NY",
"license": "001856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.