Individual provider Active NPI

Paulette Patricia McEwen, CRPA

  • Peer Specialist
  • Rochester, NY
National Provider Identifier
1730803636
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CRPA-5370 Issued in NY
Practice address
33 Chestnut St FL 1
Rochester, NY 14604-2303
Phone
(585) 262-4330
Fax
(585) 510-4797
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CRPA-5370 NY Primary

Addresses

Primary practice location

33 Chestnut St FL 1
Rochester, NY 14604-2303

Mailing address

33 Chestnut St FL 1
Rochester, NY 14604-2303
Phone (585) 262-4330

Other identifiers 1

IdentifierTypeStateIssuer
1891903787OtherNYOUT PATIENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pmcewen@abcinfo.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CRPA-5370NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Action for a Better Community, Inc. CurrentSince Oct 9, 2022 Accepting new patients

Locations

33 Chestnut St
#1
Rochester, NY 14604
Phone (585) 262-4330

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.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664841600000",
    "number": "1730803636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 CHESTNUT ST FL 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042303",
            "telephone_number": "585-262-4330",
            "fax_number": "585-510-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CHESTNUT ST FL 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146042303",
            "telephone_number": "585-262-4330",
            "fax_number": "585-510-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEWEN",
        "first_name": "PAULETTE",
        "middle_name": "PATRICIA",
        "credential": "CRPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-5370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT PATIENT",
            "identifier": "1891903787",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmcewen@abcinfo.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pmcewen@abcinfo.org",
            "address_1": "33 Chestnut St Fl 1",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146042303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.