Active NPI
Laura J Von Doenhoff, M.D.
- Cardiovascular Disease Physician
- Rochester, NY
National Provider Identifier
1013967074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 131660
- Practice address
- 1415 Portland Ave
Suite 555
Rochester, NY 14621-3039 - Phone
- (585) 336-5050
- Fax
- (585) 336-5051
- NPI assigned
- May 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 131660 | NY | Primary |
Addresses
Primary practice location
1415 Portland Ave
Suite 555
Rochester, NY 14621-3039
Mailing address
1415 Portland Ave
Suite 555
Rochester, NY 14621-3039
Phone (585) 336-5050
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5309317 | Other | NY | AETNA |
| 315769 | Other | NY | WELLCARE |
| RB5158 | Other | NY | MEDICARE PTAN |
| 0732 | Other | NY | EXCELLUS |
| P010131660 | Other | NY | BLUE CHOICE PIN |
| 00616633 | Medicaid | NY | |
| MD4G96 | Other | NY | PREFERRED CARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420329600000",
"number": "1013967074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE",
"address_2": "SUITE 555",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213039",
"telephone_number": "585-336-5050",
"fax_number": "585-336-5051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE",
"address_2": "SUITE 555",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213039",
"telephone_number": "585-336-5050",
"fax_number": "585-336-5051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON DOENHOFF",
"first_name": "LAURA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2015-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "131660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5309317",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "315769",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "RB5158",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EXCELLUS",
"identifier": "0732",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE PIN",
"identifier": "P010131660",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00616633",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE PIN",
"identifier": "MD4G96",
"state": "NY"
}
],
"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 Jan 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.