Individual provider Active NPI

William J Kingston, MD

  • Neurology Physician
  • Canandaigua, NY
National Provider Identifier
1023037355
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
145680 Issued in NY
Practice address
199 Parrish St
Canandaigua, NY 14424-1788
Phone
(585) 394-6811
Fax
(585) 394-7497
NPI assigned
Jul 18, 2006
Last updated
May 16, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 145680 NY Primary

Addresses

Primary practice location

199 Parrish St
Canandaigua, NY 14424-1788

Mailing address

199 Parrish St
Canandaigua, NY 14424-1788
Phone (585) 394-6811

Other identifiers 1

IdentifierTypeStateIssuer
00717657MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031210000630 NY Practitioner - Neurology 7810801602 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 1, 2008 Accepting new patients
Rochester General Hospital CurrentSince Aug 1, 2014 Accepting new patients
Rochester General Hospital Current Accepting new patients
Ontario Neurology Associates Neurology CurrentSince Apr 1, 1991 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Jan 1, 2008 Accepting new patients

Locations

199 Parrish St
Canandaigua, NY 14424
Phone (585) 394-2520

229 Parrish St
Ste 220
Canandaigua, NY 14424
Phone (585) 394-3920

73 Buffalo St
Ste 100
Canandaigua, NY 14424

4 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1368

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

30 Hagen Dr
Ste 230
Rochester, NY 14625
Phone (585) 381-0140

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1023037355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241788",
            "telephone_number": "585-394-6811",
            "fax_number": "585-394-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 PARRISH ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241788",
            "telephone_number": "585-394-6811",
            "fax_number": "585-394-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSTON",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "145680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00717657",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.