Raymond Divasto (NPI# 1588629653, PAC ID# 3779564976) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1588629653 |
| PAC ID by PECOS | 3779564976 |
| Professional Enrollment ID | I20040525000784 |
| Full Name | Raymond Divasto |
| Organization Legal Name | MONROE PODIATRY GROUP |
| Address |
200 White Spruce Blvd Rochester NY 14623-1605 |
| Phone Number | 5854246800 |
| Gender | M |
| Credential | DPM |
| Medical School | OHIO COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7911965009 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 White Spruce Blvd, Rochester, NY 14623-1605 | 5854246800 | MONROE PODIATRY GROUP |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% |
| Organization Legal Name | MONROE PODIATRY GROUP |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maurice A Palucci | Podiatry | Monroe Podiatry Group | 200 White Spruce Blvd, Rochester, NY 14623-1605 |
| Daniel E Godfrey | Podiatry | Monroe Podiatry Group | 24 W Ave, Spencerport, NY 14559-1344 |
| Street Address |
200 WHITE SPRUCE BLVD |
| City | ROCHESTER |
| State | NY |
| Zip | 14623-1605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maurice A Palucci | Podiatry | Monroe Podiatry Group | 200 White Spruce Blvd, Rochester, NY 14623-1605 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander R Paciorkowski | Neurology | University of Rochester | 200 E River Rd, Rochester, NY 14623-1212 |
| John M Sciortino | Chiropractic | Brighton Campus Chiropractors LLC | 2024 W Henrietta Rd, 5b, Rochester, NY 14623-1360 |
| Louis S Catapano | Chiropractic | Brighton Campus Chiropractors LLC | 2024 W Henrietta Rd, 5b, Rochester, NY 14623-1360 |
| Ted D Barnett | Diagnostic Radiology | Rochester Lifestyle Medicine Pllc | 2024 W Henrietta Rd, Suite 5a, Rochester, NY 14623-1360 |
| Emmanuel S Akowuah | Internal Medicine | 2024 W Henrietta Rd, 6b Brighton Campus Park, Rochester, NY 14623-1361 | |
| Christine C Borghi Cavallaro | Family Medicine | Brighton Family Medicine LLP | 945 E Henrietta Rd, Suite B1, Rochester, NY 14623-1419 |
| Laura J Booth | Family Medicine | Brighton Family Medicine LLP | 945 E Henrietta Rd, Suite B1, Rochester, NY 14623-1419 |
| Jerold A Desimone | Physician Assistant | Brighton Family Medicine LLP | 945 E Henrietta Rd, Suite B1, Rochester, NY 14623-1419 |
| Martha M Howden | Clinical Social Worker | 945 E Henrietta Rd, Suite 6, Rochester, NY 14623-1419 | |
| Joy A Hofbauer | Clinical Social Worker | 945 E Henrietta Rd, Suite A 7, Rochester, NY 14623-1419 | |
| Find all physicians in zip 14623 | |||
| City | ROCHESTER |
| Zip Code | 14623 |
| Specialty | PODIATRY |
| City + Specialty | ROCHESTER + PODIATRY |
Please comment or provide details below to improve the information on Raymond Divasto.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.