Individual provider Active NPI

John Anthony Rosengreen, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Rochester, NY
National Provider Identifier
1700363678
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
022341 Issued in NY
Practice address
400 Red Creek Dr Ste 120
Rochester, NY 14623-4273
Phone
(585) 334-5560
NPI assigned
Jul 24, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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 022341 NY Primary

Addresses

Primary practice location

400 Red Creek Dr Ste 120
Rochester, NY 14623-4273

Mailing address

19 Long Wood Dr
Rochester, NY 14612-2711
Phone (585) 362-5063

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
I20180928001601 NY Practitioner - Physician Assistant 5294086351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Brain and Spine Group PLLCGroup PAC ID 6507160215, 6 clinicians

Practice addresses (Care Compare)

400 Red Creek Dr
Rochester, NY 14623-4273
Phone (585) 334-5560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.96 of 100Reported as group
Quality
69.66
Promoting interoperability
80
Improvement activities
40
Cost
46.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022341NYMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: jrosengreen@rochesterbrainandspine.medentdirect.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1700363678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LONG WOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122711",
            "telephone_number": "585-362-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RED CREEK DR STE 120",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234273",
            "telephone_number": "585-334-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENGREEN",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "022341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.