Individual provider Active NPI

Casia Joyce Whitney, PA

  • Medical Physician Assistant
  • Rochester, NY
National Provider Identifier
1760764682
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
015120 Issued in NY
Practice address
1850 E Ridge Rd
Rochester, NY 14622-2448
Phone
(585) 342-3870
Fax
(585) 342-7938
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 015120 NY Primary

Addresses

Primary practice location

1850 E Ridge Rd
Rochester, NY 14622-2448

Mailing address

1850 E Ridge Rd
Rochester, NY 14622-2448
Phone (585) 342-3870

Other identifiers 1

IdentifierTypeStateIssuer
03527828MedicaidNY

Other names 1

  • Casia Joyce Moffatt Former name

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
I20111101000036 NY Practitioner - Physician Assistant 0941473367 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

30 N Union St
Suite 105
Rochester, NY 14607-1345
Phone (585) 232-8940

Hospital & facility affiliations

  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
015120NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice, P.C. CurrentSince Mar 1, 2019 Accepting new patients
Rochester General Hospital CurrentSince Nov 21, 2012 Accepting new patients
Western New York Medical Practice P.C. CurrentSince Mar 1, 2019 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 3, 2011 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 3, 2011 Accepting new patients

Locations

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

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

300 White Spruce Blvd
Ste 200
Rochester, NY 14623
Phone (585) 424-6770

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

Interoperability endpoints

  • Direct secure messaging: casia.whitney.1@10568.direct.athenahealth.com

Organizations & group practices 8

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": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1760764682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448",
            "telephone_number": "585-342-3870",
            "fax_number": "585-342-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E RIDGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222448",
            "telephone_number": "585-342-3870",
            "fax_number": "585-342-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITNEY",
        "first_name": "CASIA",
        "middle_name": "JOYCE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "015120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03527828",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASIA",
            "last_name": "MOFFATT",
            "middle_name": "JOYCE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.