Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony M Locicero III, PA

Individual provider Medical Physician Assistant · NPI 1023047610

Anthony M Locicero III, PA is a Physician Assistant in Rochester, New York. Qualified in 1994, 32 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

30 Hagen Dr Ste 100
Rochester, NY 14625-2658
Phone: (585) 442-5320
Fax: (585) 442-5526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2365 S Clinton Ave Ste 100, Rochester, NY 14618-2663 — (585) 442-5320
  • 4 Land Re Way, Spencerport, NY 14559-1735 — (585) 368-6620

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 005180 (NY)

Record details

NPI number1023047610
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 3, 2006
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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