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

Individual provider Medical Physician Assistant · NPI 1003257809

Mackenzie R. Pettinella, PA is a Physician Assistant in Rochester, New York. Qualified in 2013, 13 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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

1555 Long Pond Rd Dept OF Medicine
Rochester, NY 14626-4122
Phone: (585) 723-7870
Fax: (585) 723-7871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1415 Portland Ave Ste 350, Rochester, NY 14621-3043 — (585) 442-5320

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 016626 (NY)

Record details

NPI number1003257809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 10, 2013
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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