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MARISA J. ROACH PA
NPI 1275794083
Physician Assistant - Medical in Rochester, NY

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
95.19/100
CMS Quality Rating
1555 LONG POND RD, EMERGENCY CENTER, ROCHESTER, NY 14626(585) 723-7070(585) 723-7083 Get Directions Write a Review

NPPES record last updated: November 4, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marisa J. Roach Pa NPPES

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

MARISA J. ROACH PA (NPI 1275794083) is an individual medical provider in Rochester, New York, licensed in New York (012611) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1275794083
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARISA J. ROACHCredential: PA
Location Address1555 LONG POND RD, EMERGENCY CENTERRochester, NY 14626-4122
Mailing Address1555 Long Pond Rd, Emergency CenterRochester, NY 14626-4122 · (585) 723-7070 · Fax (585) 723-7083
Phone(585) 723-7070
Fax(585) 723-7083
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 24, 2008
Last NPPES UpdateNovember 4, 2015
✔ NPI 1275794083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 012611
1555 LONG POND RD, Rochester, NY 14626
Open in Google Maps ↗

Other Identifiers 3

Medicaid03034177NY
OtherP01518713NY · Medicare Rr
Medicare PINPA2672NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa J. Roach Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274606264
PECOS Enrollment IDI20080724000294
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Unity Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330226
Location1555 Long Pond RoadRochester, NY 14626 · Monroe County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality70.62
Promoting Interoperability100
Improvement Activities40

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.

MACKENZIE R. PETTINELLA PA
Physician Assistant (Medical)
1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626
Monroe County (585) 723-7870
FAROOQ CHAUDHARY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
FATHI ABOKALAWA MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7746
ELIZABETH GRACE WYGONIK PA-C
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
YOUSEF WALY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
MARINA TAKAWY MD
Student in an Organized Health Care Education/Training Program
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
KELCY WILDT PA
Physician Assistant
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7000
JEFF YANG MD
Emergency Medicine
1555 LONG POND RD
ROCHESTER, NY 14626
Monroe County (585) 723-7070

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 Marisa Roach's NPI number?

The NPI number for Marisa Roach is 1275794083. It was assigned to this individual provider in the NPPES registry on June 24, 2008.

Where is Marisa Roach located?

Marisa Roach practices at 1555 Long Pond Rd Emergency Center, Rochester, NY 14626. The listed phone number is (585) 723-7070.

What is Marisa Roach's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marisa Roach enrolled in Medicare?

Yes. Marisa Roach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Marisa Roach affiliated with any hospitals?

According to CMS data, Marisa Roach is affiliated with Rochester General Hospital and Unity Hospital.

When was this NPI record last updated?

The NPPES record for Marisa Roach was last updated on November 4, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.