Doctor profile · Federal record
Dr. Jean Mack-Fogg
Pediatric Nurse Practitioner · Pediatric Nurse Practitioner · Rochester, NY
- NPI 1023048600
- 20 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
601 Elmwood Ave
Rochester, NY 14642
(585) 275-7787 - Additional location
-
800 Howard Ave
New Haven, CT 065191369
(203) 785-4216
fax (203) 785-6414
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- July 24, 2018
- Specialty taxonomy
- 363LP0200X — NUCC code
- State licenses (2)
- Connecticut #7475 · New York #F380190
- Medicaid
- NY #02299521
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1023048600. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$44
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Genentech USA, INC. | 1 | $44.27 |
By nature of payment
Frequently asked questions
What is Dr. Jean Mack-Fogg's medical specialty?
Dr. Jean Mack-Fogg practices Pediatric Nurse Practitioner in Rochester, NY.
Where does Dr. Jean Mack-Fogg practice?
Dr. Jean Mack-Fogg practices at 601 Elmwood Ave, Rochester, NY 14642. Office phone: 5852757787.
What is Dr. Jean Mack-Fogg's NPI?
Dr. Jean Mack-Fogg's National Provider Identifier (NPI) is 1023048600, issued by NPPES.