Active NPI
Michael L Asselin, OTR/L
- Skilled Nursing Facility
- Rochester, NY
National Provider Identifier
1851967582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 025088
- Practice address
- 1500 Portland Ave
Rochester, NY 14621-3065 - Phone
- (585) 697-6000
- NPI assigned
- Jun 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 025088 | NY | Primary |
Addresses
Primary practice location
1500 Portland Ave
Rochester, NY 14621-3065
Mailing address
556 Claybourne Rd
Rochester, NY 14618-1226
Phone (585) 259-5628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 025088 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | StAnns | Health Information Exchange (HIE) | ST ANNS HOME FOR THE AGED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025088 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622592000000",
"number": "1851967582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "556 CLAYBOURNE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146181226",
"telephone_number": "585-259-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PORTLAND AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213065",
"telephone_number": "585-697-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSELIN",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2021-06-02",
"certification_date": "2021-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NY",
"license": "025088",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025088",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "StAnns",
"affiliation": "Y",
"endpointDescription": "work",
"affiliationName": "ST ANNS HOME FOR THE AGED",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1500 Portland Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146213065",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.