Active NPI
David M Perricone, MD
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1013975325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 173364
- Practice address
- 2561 Lac de Ville Blvd
Suite 200
Rochester, NY 14618 - Phone
- (585) 473-3900
- Fax
- (585) 461-2216
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 173364 | NY | Primary |
Addresses
Primary practice location
2561 Lac de Ville Blvd
Suite 200
Rochester, NY 14618
Mailing address
2561 Lac de Ville Blvd
Suite 200
Rochester, NY 14618
Phone (585) 473-3900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173364 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Medical Group | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1013975325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 LAC DE VILLE BLVD",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-473-3900",
"fax_number": "585-461-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2561 LAC DE VILLE BLVD",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14618",
"telephone_number": "585-473-3900",
"fax_number": "585-461-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRICONE",
"first_name": "DAVID",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "173364",
"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 Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.