Organization Active NPI

Rochester Lifestyle Medicine PLLC

  • Public Health & General Preventive Medicine Physician
  • Rochester, NY
National Provider Identifier
1013380823
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
ROCHESTER LIFESTYLE MEDICINE PLLC
Practice address
1441 East Ave
Suite 108
Rochester, NY 14610-1665
Phone
(585) 484-1254
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ted D Barnett, M.D.
Title
Member
Phone
(585) 533-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

1441 East Ave
Suite 108
Rochester, NY 14610-1665

Mailing address

PO Box 22844
Rochester, NY 14692-2844

National Provider Directory

National Provider Directory

Locations

1441 East Ave
Ste 108
Rochester, NY 14610
Phone (585) 484-1254

1200 Edgewood Ave
Rochester, NY 14618
Phone (585) 461-2000

2300 Buffalo Rd
Bldg 100C
Rochester, NY 14624
Phone (585) 247-0080

2024 W Henrietta Rd
Ste 5A
Rochester, NY 14623
Phone (585) 484-1254

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1013380823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22844",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146922844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 EAST AVE",
            "address_2": "SUITE 108",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146101665",
            "telephone_number": "585-484-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER LIFESTYLE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "585-533-1368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.