Active NPI
Stacey Sang
- Adult Health Nurse Practitioner
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 309662
- Practice address
- 601 Elmwood Ave
Rochester, NY 14642-4281 - Phone
- (585) 275-4517
- NPI assigned
- May 27, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 309662 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Rochester, NY 14642-4281
Mailing address
601 Elmwood Ave Box 675
Rochester, NY 14642-0001
Phone (585) 275-4517
Other practice location 1
370 E Ridge Rd Ste 20
Rochester, NY 14621-1239
Phone (585) 922-0400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Rochester School of Medicine and Dentistry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 275-4517
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rochester General Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Strong Renal Group | Current | Accepting new patients | |
| Rochester General Hospital | Past | Accepting new patients | |
| Urban Family Practice PC | Past | Accepting new patients |
Locations
370 E Ridge Rd
Ste 20
Rochester, NY 14621
Phone (585) 922-0400
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
370 E Ridge Rd
Rochester, NY 14621
Phone (585) 922-0400
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#675
Rochester, NY 14642
Phone (585) 275-4517
Interoperability endpoints
- stacey.sang.1@29290.direct.athenahealth.com
- stacey.sang@cinq-nyipa.medentdirect.com
Organizations & group practices 6
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.
-
- Nephrology Physician
- Rochester, NY
- NPI 1881641470
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Nurse Practitioner
- Pittsford, NY
- NPI 1801292800
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
-
- In Home Supportive Care Agency
- Baltimore, MD
- NPI 1164594099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1811510555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 675",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-4517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146424281",
"telephone_number": "585-275-4517"
}
],
"practiceLocations": [
{
"address_1": "370 E Ridge Rd Ste 20",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146211239",
"country_code": "US",
"telephone_number": "585-922-0400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANG",
"first_name": "STACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "309662",
"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 Apr 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.