Individual provider Active NPI

Joseph Mathis Quackenbush

  • Physician Assistant
  • Batavia, NY
National Provider Identifier
1821629510
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
024761 Issued in NY
Practice address
16 Bank St
Batavia, NY 14020-2250
Phone
(585) 344-7276
Fax
(585) 344-8190
NPI assigned
Jan 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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 024761 NY Primary

Addresses

Primary practice location

16 Bank St
Batavia, NY 14020-2250

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

5959 Big Tree Rd Ste 102
Orchard Park, NY 14127-2291
Phone (716) 422-5677

Other practice location 2

2 Coulter Rd
Clifton Springs, NY 14432-1122
Phone (315) 462-1050

Other practice location 3

1565 Long Pond Rd
Rochester, NY 14626-4168
Phone (585) 723-7723

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
I20200325001271 NY Practitioner - Physician Assistant 5193153138 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.97 of 100Reported as group
Quality
80.2
Improvement activities
40
Cost
72.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024761NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Unity Hospital of Rochester CurrentSince Dec 8, 2025 Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 13, 2023 Accepting new patients
Erie County Medical Center Corporation CurrentSince Nov 13, 2023 Accepting new patients
United Memorial Medical Center CurrentSince Dec 8, 2025 Accepting new patients
United Memorial Medical Center CurrentSince Dec 8, 2025 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Dec 8, 2025 Accepting new patients
Neighborhood Health Center of Wny, Inc. CurrentSince Feb 18, 2020 Accepting new patients
Neighborhood Health Center of Wny, Inc. CurrentSince Feb 18, 2020 Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

155 Lawn Ave
Buffalo, NY 14207
Phone (716) 875-2904

300 Niagara St
Buffalo, NY 14201
Phone (716) 242-8600

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

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

1565 Long Pond Rd
Rochester, NY 14626
Phone (585) 723-7723

Interoperability endpoints

  • Direct secure messaging: jquackenbush@gppc.medentdirect.com

Organizations & group practices 11

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1821629510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 BANK ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140202250",
            "telephone_number": "585-344-7276",
            "fax_number": "585-344-8190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5959 Big Tree Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272291",
            "country_code": "US",
            "telephone_number": "716-422-5677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Coulter Rd",
            "address_purpose": "LOCATION",
            "city": "Clifton Springs",
            "state": "NY",
            "postal_code": "144321122",
            "country_code": "US",
            "telephone_number": "315-462-1050",
            "fax_number": "315-462-0145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1565 Long Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146264168",
            "country_code": "US",
            "telephone_number": "585-723-7723",
            "fax_number": "585-723-7301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACKENBUSH",
        "first_name": "JOSEPH",
        "middle_name": "MATHIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "024761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.