Organization Active NPI

Neurology Associates of Rochester PC

  • Neurology Physician
  • Rochester, NY
National Provider Identifier
1912099136
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF ROCHESTER PC
Practice address
20 Hagen Dr Ste 300
Rochester, NY 14625-2664
Phone
(585) 586-7550
Fax
(585) 586-7588
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Mary-Cardwell Stevens
Title
Office Manager
Phone
(585) 586-7550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

20 Hagen Dr Ste 300
Rochester, NY 14625-2664

Mailing address

20 Hagen Dr Ste 300
Rochester, NY 14625-2664
Phone (585) 586-7550

Other identifiers 3

IdentifierTypeStateIssuer
00731842MedicaidNY
02442015MedicaidNY
01018377MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070926000631 NY Part B Supplier - Clinic/Group Practice 0749375442 Receives reassigned benefits from 7 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory

Locations

20 Hagen Dr
Ste 300
Rochester, NY 14625
Phone (585) 586-7550

1415 Portland Ave
Ste 575
Rochester, NY 14621
Phone (585) 336-5336

Practitioners & affiliated clinicians

Practitioners 8

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1912099136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-586-7550",
            "fax_number": "585-586-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 300",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-586-7550",
            "fax_number": "585-586-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF ROCHESTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MARY-CARDWELL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-586-7550"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00731842",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02442015",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01018377",
            "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 18, 2026; 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.