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

Mark Bertolone

Individual provider Medical Physician Assistant · NPI 1528634185

Mark Bertolone is a Physician Assistant in Rochester, New York. Qualified in 2021, 5 years ago. Practices with University Urology Associates, a 64-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1000 S Ave
Rochester, NY 14620-2733
Phone: (585) 473-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 27706 (NY)

Record details

NPI number1528634185
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 3, 2021
Last updated in NPPESJuly 17, 2023
Certification dateOctober 29, 2021
Mailing address6481 Cedar Creek Way, Farmington, NY 14425-9557

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Urology Associates — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rochester