NICHOLAS GEORGE LIOTTA (NPI# 1053971440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053971440 |
| Entity Type | Individual |
| Full Name | NICHOLAS GEORGE LIOTTA |
| Credential | PA-C |
| Practice Address |
1555 Long Pond Rd Rochester NY 14626-4122 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 5857237870 |
| Practice Fax Number | 5857237871 |
| Mailing Telephone | 5857237870 |
| Mailing Fax Number | 5857237871 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
023583 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1555 LONG POND RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14626-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474854 | Michelle Carpenter-bradley | Internal Medicine | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2005-06-01 |
| 1891394037 | Thomas Smith | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-20 |
| 1083211726 | Stergios Zissis | Nurse Practitioner | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-06 |
| 1194322123 | Yousif Rajab | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-10-02 |
| 1295342673 | Rachel Costain | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-29 |
| 1093321903 | Suman Biswas | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-17 |
| 1679187736 | Mary Carol Kretsch | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-09-04 |
| 1649883794 | Fahd Shaukat | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-28 |
| 1679185623 | Mohamed Eid | Student in an Organized Health Care Education/Training Program | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-20 |
| 1619588076 | Megan M Stone | Physician Assistant | 1555 Long Pond Rd, Rochester, NY 14626-4122 | 2020-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760978084 | Elizabeth M Neenan | Nurse Practitioner | 105 Canal Landing Blvd. Suite 1, Rochester, NY 14626 | 2018-07-10 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1285157370 | Heather Kate Byam | Nurse Anesthetist, Certified Registered | 280 Mill Road, Rochester, NY 14626 | 2017-07-20 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| 1609308709 | Ulfat Shafiq | Dentist | 1100 Long Pond Rd Ste 115, Greece, NY 14626 | 2017-03-29 |
| 1174982953 | S.a.v.o.c L.l.c | Preferred Provider Organization | 2833 West Ridge Road, Pearle Vision Ridgemont Plaza Suite 'a', Rochester, NY 14626 | 2016-02-22 |
| 1700244357 | Kerri Anne Sawyer | Registered Nurse | 82 Southridge Drive, Rochester, NY 14626 | 2016-02-10 |
| 1518398106 | Braces of Greece | Exclusive Provider Organization | 770 Fetzner Rd., Rochester, NY 14626 | 2013-12-06 |
| 1477983443 | Amy Pawlyk | Licensed Practical Nurse | 116 Annie Lane, Rochester, NY 14626 | 2013-11-12 |
| 1689911208 | Kathleen Zimmerman | Occupational Therapist | 1555 Long Pond Rd., 4th Floor, Rochester, NY 14626 | 2013-01-16 |
| Find all providers in zip 14626 | ||||
| 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.