ALYSSA RATAJCZAK (NPI# 1073085593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073085593 |
| Entity Type | Individual |
| Full Name | ALYSSA RATAJCZAK |
| Credential | PA |
| Practice Address |
181 Lomb Memorial Dr Rochester NY 14623 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5859223100 |
| Practice Fax Number | 5859223109 |
| Mailing Telephone | 5859223100 |
| Mailing Fax Number | 5859223109 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
023592 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 181 Lomb Memorial Dr, Rochester, NY 14623 | 5859223100 | 5859223109 |
| Street Address |
181 LOMB MEMORIAL DR |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548283518 | Eric Wilcox | Family Medicine | 181 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2006-07-25 |
| 1831542752 | Cassandra Berbary | Counselor | 181 Lomb Memorial Dr, Rochester, NY 14623 | 2016-07-15 |
| 1174990303 | Rochester General Hospital | Internal Medicine | 181 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2015-08-24 |
| 1801203955 | Mackenzie A. Neal | Physician Assistant | 181 Lomb Memorial Dr, Rochester, NY 14623-5690 | 2014-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1659923704 | Colin J Montgomery | Physician Assistant | 2400 S Clinton Ave Bldg G2nd, Rochester, NY 14618-2668 | 2019-07-09 |
| 1184183592 | Jera Delibashi | Physician Assistant | 89 Genesee St Fl 3, Rochester, NY 14611-3201 | 2019-03-15 |
| 1255808309 | Lauren Leigh D'hont | Physician Assistant | 400 White Spruce Blvd Ste A, Rochester, NY 14623-1619 | 2018-10-26 |
| 1124547823 | Lucas Polito | Physician Assistant | 1724 East Ridge Road, Rochester, NY 14622 | 2017-09-13 |
| 1629523956 | Reggie Testa Cayetano | Physician Assistant | 601 Elmwood Ave Box 619-13, Rochester, NY 14642-0001 | 2016-08-16 |
| 1891248373 | Padma Priya Rathina Sabapathy | Physician Assistant | 1561 Long Pond Rd Ste 302, Rochester, NY 14626-4135 | 2016-08-01 |
| 1821407669 | Amy C Dvorak | Physician Assistant | 1425 Portland Ave # 306, Rochester, NY 14621-3001 | 2014-08-06 |
| 1154741742 | Amanda Buckner | Physician Assistant | 158 Sawgrass Dr, Floor 2, Rochester, NY 14620-4648 | 2014-04-22 |
| 1053749614 | Amy Desantis | Physician Assistant | 9 Merrydale Drive, Rochester, NY 14624 | 2013-10-17 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.