Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Vincent Evan Derienzo, PA

Individual provider Physician Assistant · NPI 1598310161

Mr. Vincent Evan Derienzo, PA is a Physician Assistant in Rochester, New York. Qualified in 2019, 7 years ago. Practices with Pulmonary Disease Clinical Group, a 65-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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

601 Elmwood Ave
Rochester, NY 14642-0001
Phone: (585) 275-1577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 023822 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 23822 (NY)

Record details

NPI number1598310161
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 9, 2019
Last updated in NPPESJune 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pulmonary Disease Clinical Group — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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