Individual provider Active NPI

Anthony Neil Dambra, PA

  • Surgical Physician Assistant
  • Rochester, NY
National Provider Identifier
1841632031
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
016791 Issued in NY
Practice address
2655 Ridgeway Ave
Suite 340
Rochester, NY 14626-4296
Phone
(585) 368-6545
Fax
(585) 368-6546
NPI assigned
Jul 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 016791 NY Primary

Addresses

Primary practice location

2655 Ridgeway Ave
Suite 340
Rochester, NY 14626-4296

Mailing address

2655 Ridgeway Ave
Suite 340
Rochester, NY 14626-4296
Phone (585) 368-6545

Other practice location 1

875 Pre Emption Rd
Geneva, NY 14456-2042
Phone (585) 368-6545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Anthony.Dambra@rochesterregional.org

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
I20130826000981 NY Practitioner - Physician Assistant 9739322512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Western New York Medical Practice PCGroup PAC ID 3870767791, 528 clinicians
The Unity Hospital of RochesterGroup PAC ID 9436060969, 732 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-3122

1445 Portland Ave
Rochester, NY 14621-3008

158 Orchard St
Rochester, NY 14611-1361
Phone (585) 368-4500

2655 Ridgeway Ave
Rochester, NY 14626-4296

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C CurrentSince May 1, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Aug 19, 2013 Accepting new patients
Western New York Medical Practice P.C. CurrentSince May 1, 2020 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

875 Pre Emption Rd
Geneva, NY 14456
Phone (315) 789-5061

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

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

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

2655 Ridgeway Ave
Ste 340
Rochester, NY 14626
Phone (585) 368-6545

Interoperability endpoints

  • Direct secure messaging: adambra204770@direct.rochesterregional.org
  • Direct secure messaging: anthony.dambra@rochesterregional.org

Organizations & group practices 5

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": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1841632031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 340",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562042",
            "country_code": "US",
            "telephone_number": "585-368-6545",
            "fax_number": "585-368-6546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAMBRA",
        "first_name": "ANTHONY",
        "middle_name": "NEIL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-29",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "016791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Anthony.Dambra@rochesterregional.org",
            "affiliation": "N",
            "address_1": "2655 Ridgeway Ave",
            "address_2": "Suite 340",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146264296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.