Active NPI
Jeffrey Bazarian II, M.D.
- Physical Medicine & Rehabilitation Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 176211
- Practice address
- 4901 Lac de Ville Blvd
Suite 250
Rochester, NY 14618-5647 - Phone
- (585) 275-3271
- Fax
- (585) 442-2949
- NPI assigned
- Jul 17, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 176211 | NY | |
| Internal Medicine Physician | 207R00000X | 176211 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 176211 | NY | Primary |
Addresses
Primary practice location
4901 Lac de Ville Blvd
Suite 250
Rochester, NY 14618-5647
Mailing address
601 Elmwood Ave
Box 655C
Rochester, NY 14642-0001
Phone (585) 341-3015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01720850 | Medicaid | NY |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbazarian3454@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | jbazarian3454@direct.urmc.rochester.edu | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176211 | NY | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acute Care Trauma of the University of Rochester | Current | Accepting new patients | |
| Cardiac Surgery of the University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Internal Medicine | Current | Accepting new patients |
| U of R Neurology Department | Current | Accepting new patients | |
| University of Rochester | Internal Medicine | Current | Accepting new patients |
Locations
1445 Portland Ave
Ste 305
Rochester, NY 14621
Phone (585) 275-8344
601 Elmwood Ave
#655
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#655C
Rochester, NY 14642
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
4901 Lac de Ville Blvd
Ste 250
Rochester, NY 14618
Phone (585) 275-3271
Organizations & group practices 7
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.
-
- Neurology Physician
- Rochester, NY
- NPI 1184725525
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Multi-Specialty Clinic/Center
- Rochester, NY
- NPI 1518908433
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1851754634
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1689023277
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1063430239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 655C",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-341-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 LAC DE VILLE BLVD",
"address_2": "SUITE 250",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185647",
"telephone_number": "585-275-3271",
"fax_number": "585-442-2949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAZARIAN",
"first_name": "JEFFREY",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "176211",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "176211",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "176211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01720850",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbazarian3454@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbazarian3454@direct.urmc.rochester.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "OTHER",
"address_1": "601 Elmwood Ave",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146420001",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.