Organization Active NPI

Tobi Berchen, MD

  • Pediatric Adolescent Medicine Physician
  • Geneseo, NY
National Provider Identifier
1073885836
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
228916 Issued in NY
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

Updated by the provider on Apr 5, 2012

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)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.