Active NPI
Tobi Berchen, MD
- Pediatric Adolescent Medicine Physician
- Geneseo, NY
National Provider Identifier
1073885836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 228916
- Legal business name
- TOBI BERCHEN, MD
- Practice address
- 4638 Genesee St
Suite 2
Geneseo, NY 14454-1090 - Phone
- (585) 243-4041
- Fax
- (585) 243-5415
- NPI assigned
- Feb 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tobi Marc Berchen, MD
- Title
- Sole Proprietor
- Phone
- (585) 243-4041
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 228916 | NY | Primary |
Addresses
Primary practice location
4638 Genesee St
Suite 2
Geneseo, NY 14454-1090
Mailing address
4638 Genesee St
Suite 2
Geneseo, NY 14454-1090
Phone (585) 243-4041
National Provider Directory
National Provider DirectoryLocations
4638 Genesee St
#2
Geneseo, NY 14454
Phone (585) 243-4041
25 Main St S
Perry, NY 14530
Phone (585) 243-4041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333584000000",
"number": "1073885836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4638 GENESEE ST",
"address_2": "SUITE 2",
"city": "GENESEO",
"state": "NY",
"postal_code": "144541090",
"telephone_number": "585-243-4041",
"fax_number": "585-243-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4638 GENESEE ST",
"address_2": "SUITE 2",
"city": "GENESEO",
"state": "NY",
"postal_code": "144541090",
"telephone_number": "585-243-4041",
"fax_number": "585-243-5415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOBI BERCHEN, MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-08",
"last_updated": "2012-04-05",
"status": "A",
"authorized_official_last_name": "BERCHEN",
"authorized_official_first_name": "TOBI",
"authorized_official_middle_name": "MARC",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "585-243-4041",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "228916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Geneseo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.