Jerry Williams Jr.

Primary specialty

TechnicianTaxonomy code 374700000X

Practice address

106 Cady St
Rochester, NY 14608-2324

Phone

(585) 512-7320

NPI assigned

Jun 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624060800000",
    "number": "1063081578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CADY ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082324",
            "telephone_number": "585-512-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CADY ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146082324",
            "telephone_number": "585-512-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Cady St",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146082324",
            "country_code": "US",
            "telephone_number": "585-512-7320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JERRY",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-19",
        "last_updated": "2021-06-19",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah C Williams, NP
• Isaac Williams
• Jacqueline Ann Williams, RDN
• Janaye Williams
• Janet Williams
• Jesse Quinn Williams, LMHC
• Jessica Williams
• Kabrina Alexis Williams
• Kamar Anton Williams, AGPCNP
• Kania S Williams

• Technician in Rochester, NY
• Providers in Rochester, NY by specialty
• Technician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2021; 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.