DR. JEFFREY L. ROCKMORE M.D.
NPI 1104899632
Specialist in Latham, NY

Active since February 07, 2006PECOS Enrolled
15 OLD LOUDON RD, LATHAM, NY 12110(518) 328-3330 Get Directions Write a Review

NPPES record last updated: April 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 17, 2020, Jan 14, 2019 (2 updates tracked since 2019).

About Dr. Jeffrey L. Rockmore M.d. NPPES

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

DR. JEFFREY L. ROCKMORE M.D. (NPI 1104899632) is an individual specialist in Latham, New York, licensed in New York (202795-1) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104899632
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JEFFREY L. ROCKMORECredential: M.D.
Location Address15 OLD LOUDON RDLatham, NY 12110-5242
Mailing Address15 Old Loudon RdLatham, NY 12110-5242 · (518) 328-3330
Sole ProprietorYes
Enumeration DateFebruary 7, 2006
Last NPPES UpdateApril 17, 20202 updates tracked since enumeration
NPPES CertifiedApril 17, 2020
✔ NPI 1104899632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 202795-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
15 OLD LOUDON RD, Latham, NY 12110

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jeffrey L. Rockmore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeffrey Rockmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
455 PATROON CREEK BLVD, SUITE 101
Albany, NY 12206
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
15 OLD LOUDON RD
LATHAM, NY 12110
Plastic Surgery
15 OLD LOUDON RD
LATHAM, NY 12110
Clinical Medical Laboratory
15 OLD LOUDON RD
LATHAM, NY 12110

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 Jeffrey Rockmore's NPI number?

The NPI number for Jeffrey Rockmore is 1104899632. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Jeffrey Rockmore located?

Jeffrey Rockmore practices at 15 Old Loudon Rd, Latham, NY 12110. The listed phone number is (518) 328-3330.

What is Jeffrey Rockmore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jeffrey Rockmore enrolled in Medicare?

Yes. Jeffrey Rockmore is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeffrey Rockmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Rockmore reassigns Medicare benefits to Plastic Surgery Associates LLP (Albany, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Rockmore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeffrey Rockmore was last updated on April 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.