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JEAN ELIZABETH MACK-FOGG
NPI 1023048600
Nurse Practitioner - Pediatrics in Rochester, NY

Active since July 03, 2006
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-7787 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jean Elizabeth Mack-fogg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN ELIZABETH MACK-FOGG (NPI 1023048600) is an individual pediatrics provider in Rochester, New York, licensed in Connecticut (7475) and active in the NPI registry since July 2006. She maintains a secondary practice location in New Haven.

NPPES Registry Identity

NPI1023048600
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameJEAN ELIZABETH MACK-FOGG
Location Address601 ELMWOOD AVERochester, NY 14642
Mailing Address601 Elmwood Ave, Box 635Rochester, NY 14642-0001 · (585) 275-7787
Phone(585) 275-7787
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 24, 2018
✔ NPI 1023048600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in CT · 7475✔ Licensed in NY · F380190
601 ELMWOOD AVE, Rochester, NY 14642
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Secondary Practice Location 1

Location 1800 Howard AveNew Haven, CT 06519-1369 · Phone (203) 785-4216 · Fax (203) 785-6414

Other Identifiers 1

Medicaid02299521NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARIE E BRADT RPA-C
Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-6070
DR. RITA DADIZ DO
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Monroe County (585) 275-7787
DR. SCOTT ROSS SCHIFFMAN M.D.
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Monroe County (585) 275-1128
SARAH ANNE ROSSI FNP
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Monroe County (585) 279-5100
JIMENA CUBILLOS MD
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Monroe County (585) 275-3342
MRS. ANNE SCHERBERGER KEEFER RN NP
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Monroe County (585) 275-5307
SCOTT OVERHOLT DDS
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Monroe County (585) 275-7978
MS. SARAH L AVERILL MD
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642
Monroe County (585) 275-2100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Mack-fogg's NPI number?

The NPI number for Jean Mack-fogg is 1023048600. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Jean Mack-fogg located?

Jean Mack-fogg practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-7787.

What is Jean Mack-fogg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Jean Mack-fogg was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.