NATHAN J PADDOCK PA
NPI 1679526503
Physician Assistant - Medical in Rochester, NY

Q: What is Nathan Paddock's NPI number?

The NPI number for Nathan Paddock is 1679526503. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Nathan Paddock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Paddock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 19, 2006PECOS Enrolled

1555 LONG POND RD, EMERGENCY CENTER, ROCHESTER, NY 14626(585) 723-7005(585) 368-4945 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nathan J Paddock Pa NPPES

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

NATHAN J PADDOCK PA (NPI 1679526503) is an individual medical provider in Rochester, New York, licensed in New York (009357) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679526503

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameNATHAN J PADDOCKCredential: PA

Location Address1555 LONG POND RD, EMERGENCY CENTERRochester, NY 14626-4122

Mailing Address1555 Long Pond Rd, Emergency CenterRochester, NY 14626-4122 · (585) 723-7005 · Fax (585) 368-4945

Phone(585) 723-7005

Fax(585) 368-4945

Sole ProprietorNo

Enumeration DateMay 19, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679526503 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 · 009357

1555 LONG POND RD, Rochester, NY 14626

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Other Identifiers 5

Medicare ID-Type UnspecifiedPA1238NY · 70008a Group

Medicare ID-Type UnspecifiedPA1241NY · Ba0017 Group

Medicare UPINP94507NY

Other177741AZNY · Preferred Care

Medicaid02564327NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan J Paddock Pa 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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oropharyngeal suction catheter, each A4628

DME-Other DME · category DE000N

1 supplier17 claims66 services$3.56 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers20 claims64 services$6.69 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

3 suppliers106 claims3,238 services$5.50 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

3 suppliers24 claims10,004 services$0.30 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

3 suppliers40 claims19,003 services$0.28 avg. paid by Medicare

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153

Other-Enteral and Parenteral · category OB006N

3 suppliers27 claims9,713 services$1.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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