NPIMap

Individual provider Active NPI

Justin V. Rymanowski, M.D.

  • Neurology Physician
  • Canandaigua, NY
National Provider Identifier
1750595393
Registry record updated Oct 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
261285-1 Issued in NY
Practice address
199 Parrish St
Canandaigua, NY 14424-1788
Phone
(585) 394-6811
NPI assigned
May 10, 2007
Reactivated
Oct 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 261285-1 NY Primary

Addresses

Primary practice location

199 Parrish St
Canandaigua, NY 14424-1788

Mailing address

199 Parrish St
Canandaigua, NY 14424-1788
Phone (585) 394-6811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120611000219 NY Practitioner - Neurology 2860656519 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Rochester School of Medicine and Dentistry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Associates of Rochester PCGroup PAC ID 0749375442, 7 clinicians
Ontario Neurology AssociatesGroup PAC ID 1254245038, 6 clinicians

Practice addresses (Care Compare)

20 Hagen Dr
Suite 300
Rochester, NY 14625-2664
Phone 5855867550101

229 B Parrish St
Suite 220
Canandaigua, NY 14424-1791

30 Hagen Dr
Suite 230
Rochester, NY 14625-2658
Phone (585) 381-0140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.09 of 100Reported as group
Quality
53.03
Improvement activities
40
Cost
69.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
261285-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 1, 2014 Accepting new patients
Rochester General Hospital Current Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Aug 1, 2012 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2014 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Aug 1, 2012 Accepting new patients

Locations

199 Parrish St
Canandaigua, NY 14424
Phone (585) 394-2520

73 Buffalo St
Ste 100
Canandaigua, NY 14424

229 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 394-3920

1312 Driving Park Ave
Newark, NY 14513
Phone (315) 331-0806

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

30 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 381-1440

30 Hagen Dr
Ste 230
Rochester, NY 14625
Phone (585) 381-0140

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: justin.rymanowski@ontarioneurologyassoc.medentdirect.com

Organizations & group practices 7

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 4

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1750595393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241788",
            "telephone_number": "585-394-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241788",
            "telephone_number": "585-394-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYMANOWSKI",
        "first_name": "JUSTIN",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2012-10-04",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "261285-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.