AMY DESANTIS PA NPI 1053749614

NPI Information

  • NPI: 1053749614
  • Provider Name: AMY DESANTIS, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9 MERRYDALE DRIVE
    ROCHESTER, NY
    ZIP 14624
  • Phone: (585) 330-5597

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NPI Details

Amy Desantis, PA is a medical physician assistant in Rochester, NY with 13 years of experience. Amy Desantis, PA NPI is 1053749614. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9 MERRYDALE DRIVE
ROCHESTER, NY
ZIP 14624
Phone: (585) 330-5597

The NPI 1053749614 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2013 and was last updated on 10/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedical017082-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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