NPIMap

Organization Active NPI

Westside Anesthesia Associates of Rochester, LLP

  • Anesthesiology Physician
  • Rochester, NY
National Provider Identifier
1871582601
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTSIDE ANESTHESIA ASSOCIATES OF ROCHESTER, LLP
Practice address
1555 Long Pond Rd
Rochester, NY 14626-4122
Phone
(585) 255-8966
NPI assigned
Oct 14, 2005
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Vito Potenza, MDNPI 1003805177
Title
President
Phone
(585) 255-8966

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1555 Long Pond Rd
Rochester, NY 14626-4122

Mailing address

PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 449-0513

Other identifiers 1

IdentifierTypeStateIssuer
01956505MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040116000751 NY Part B Supplier - Clinic/Group Practice 1153222690 Receives reassigned benefits from 24 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

135 Canal Landing Blvd
Rochester, NY 14626
Phone (585) 225-0270

3400 W Ridge Rd
Rochester, NY 14626
Phone (716) 225-8966

1900 Empire Blvd
#221
Webster, NY 14580
Phone (585) 317-2863

Practitioners & affiliated clinicians

Practitioners 39

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.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1871582601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574505",
            "telephone_number": "315-449-0513",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264122",
            "telephone_number": "585-255-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ANESTHESIA ASSOCIATES OF ROCHESTER, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-14",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "POTENZA",
        "authorized_official_first_name": "VITO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-255-8966",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01956505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 29, 2016; 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.