Organization Active NPI

Monroe Medical Practice PC

Doing business as Personal Medicine of Rochester

  • Internal Medicine Physician
  • Pittsford, NY
National Provider Identifier
1861183220
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MONROE MEDICAL PRACTICE PC
Doing business as
Personal Medicine of Rochester
Practice address
61 Monroe Ave Ste a
Pittsford, NY 14534-1311
Phone
(585) 385-3372
NPI assigned
May 17, 2023
Last updated
Feb 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Dr. Daniel Ari MendelsonNPI 1659318467
Title
Shareholder
Phone
(585) 784-6410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

61 Monroe Ave Ste a
Pittsford, NY 14534-1311

Mailing address

2021 Winton Rd S
Rochester, NY 14618-3957

Other names 1

  • Personal Medicine of Rochester Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231013002069 NY Part B Supplier - Clinic/Group Practice 4284089053 Receives reassigned benefits from 2 practitioners
Practice locations: Pittsford, NY; Rochester, NY

National Provider Directory

National Provider Directory

Locations

2021 Winton Rd S
Rochester, NY 14618
Phone (585) 427-7760

2109 S Clinton Ave
Ste 2
Rochester, NY 14618
Phone (585) 385-3372

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1861183220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 WINTON RD S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MONROE AVE STE A",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341311",
            "telephone_number": "585-385-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONROE MEDICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ARI",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "585-784-6410",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personal Medicine of Rochester",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Personal Medicine of Rochester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.