Organization Active NPI

Rochester Clinic PLC

  • Clinic/Center
  • Rochester, MN
National Provider Identifier
1861675159
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROCHESTER CLINIC PLC
Practice address
3070 Wellner Dr NE
Rochester, MN 55906-8427
Phone
(507) 218-3095
Fax
(507) 218-3097
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

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

Authorized official

Name
Dr. Jengyu Lai, DPMNPI 1750383808
Title
Chief Manager
Phone
(507) 218-3095

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Podiatric Clinic/Center 261QP1100X
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

3070 Wellner Dr NE
Rochester, MN 55906-8427

Mailing address

3070 Wellner Dr NE
Rochester, MN 55906-8427
Phone (507) 218-3095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091005000421 MN Part B Supplier - Clinic/Group Practice 5193861151 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MN
O20110128000773 MN DME Supplier - Physician - PodiatryDME Supplier - Physician - Family Practice 5193861151 Practice locations: Rochester, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2015374Rochester Clinic PLC3070 Wellner Drive NE, Rochester, MN 55906Provider-performed microscopyOct 25, 2026

National Provider Directory

National Provider Directory

Locations

3070 Wellner Dr NE
Rochester, MN 55906
Phone (507) 218-3095

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1861675159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 WELLNER DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068427",
            "telephone_number": "507-218-3095",
            "fax_number": "507-218-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 WELLNER DR NE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559068427",
            "telephone_number": "507-218-3095",
            "fax_number": "507-218-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER CLINIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "JENGYU",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "507-218-3095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.