JAMIE DOUGHERTY
NPI 1932422920
Physician Assistant - Surgical in Rochester, NY

Active since March 05, 2010PECOS Enrolled
2619 CULVER RD, SUITE 2A, ROCHESTER, NY 14609(585) 342-2410(585) 342-9141 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jamie Dougherty NPPES

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

JAMIE DOUGHERTY (NPI 1932422920) is an individual surgical provider in Rochester, New York, licensed in New York (013831-1) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932422920
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJAMIE DOUGHERTY
Location Address2619 CULVER RD, SUITE 2ARochester, NY 14609-1738
Mailing Address2619 Culver Rd, Suite 2aRochester, NY 14609-1738 · (585) 342-2410 · Fax (585) 342-9141
Fax(585) 342-9141
Sole ProprietorYes
Enumeration DateMarch 5, 2010
Last NPPES UpdateJuly 2, 2012
NPI 1932422920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 013831-1
2619 CULVER RD, Rochester, NY 14609

Other Identifiers 1

Medicare PINJ4000014106NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jamie Dougherty 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.

Other Providers at the Same Location NPPES 8

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

Physical Therapist
2619 CULVER RD, SUITE 2A
ROCHESTER, NY 14609
Physician Assistant (Surgical)
2619 CULVER RD
ROCHESTER, NY 14609
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2619 CULVER RD
ROCHESTER, NY 14609
Radiology (Diagnostic Radiology)
2619 CULVER RD
ROCHESTER, NY 14609
Physician Assistant (Surgical)
2619 CULVER RD, SUITE 2A
ROCHESTER, NY 14609
Family Medicine (Sports Medicine)
2619 CULVER RD
ROCHESTER, NY 14609
Physician Assistant (Surgical)
2619 CULVER RD, SUITE 2A
ROCHESTER, NY 14609
Physician Assistant
2619 CULVER RD, SUITE 2A
ROCHESTER, NY 14609

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 Jamie Dougherty's NPI number?

The NPI number for Jamie Dougherty is 1932422920. It was assigned to this individual provider in the NPPES registry on March 5, 2010.

Where is Jamie Dougherty located?

Jamie Dougherty practices at 2619 Culver Rd Suite 2A, Rochester, NY 14609. The listed phone number is (585) 342-2410.

What is Jamie Dougherty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jamie Dougherty enrolled in Medicare?

Yes. Jamie Dougherty is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamie Dougherty was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.