DR. NICHOLAS JARROD DODGE
NPI 1093650046
Student in an Organized Health Care Education/Training Program in Rochester, NY
About Dr. Nicholas Jarrod Dodge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS JARROD DODGE (NPI 1093650046) is an individual student in an organized health care education/training program in Rochester, New York and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Nicholas Jarrod Dodge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
ROCHESTER, NY 14642
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 Nicholas Dodge's NPI number?
The NPI number for Nicholas Dodge is 1093650046. It was assigned to this individual provider in the NPPES registry on April 23, 2026.
Where is Nicholas Dodge located?
Nicholas Dodge practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 756-4800.
What is Nicholas Dodge's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicholas Dodge enrolled in Medicare?
Yes. Nicholas Dodge is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicholas Dodge was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Dr. Nicholas Jarrod Dodge · NPI 1093650046
Student in an Organized Health Care Education/Training Program provider in Rochester, New York. Individual provider, active in the CMS NPPES registry since April 23, 2026.
## Identity
- **NPI:** 1093650046 (Entity type: Individual)
- **Enumerated:** April 23, 2026
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 601 ELMWOOD AVE, Rochester, NY 14642-0001
- **Phone:** (585) 756-4800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 23, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1093650046) · Data from the CMS NPPES public registry.