NPIMap

Organization Active NPI

Rochester Medical Weight Loss, P.C

  • Legal Medicine
  • Rochester, NY
National Provider Identifier
1083027296
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
190081 Issued in NY
Legal business name
ROCHESTER MEDICAL WEIGHT LOSS, P.C
Practice address
1299 Portland Ave
Suite 7
Rochester, NY 14621-2730
Phone
(585) 467-9790
Fax
(585) 467-9798
NPI assigned
Jun 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Mrs. Gule-Rana Masood, MDNPI 1508838020
Title
Owner
Phone
(585) 467-9790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 190081 NY Primary

Addresses

Primary practice location

1299 Portland Ave
Suite 7
Rochester, NY 14621-2730

Mailing address

1299 Portland Ave
Suite 7
Rochester, NY 14621-2730
Phone (585) 467-9790

Other identifiers 1

IdentifierTypeStateIssuer
01649816MedicaidNY

National Provider Directory

National Provider Directory

Locations

1299 Portland Ave
Ste 7
Rochester, NY 14621
Phone (585) 467-9790

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1083027296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE",
            "address_2": "SUITE 7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212730",
            "telephone_number": "585-467-9790",
            "fax_number": "585-467-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE",
            "address_2": "SUITE 7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212730",
            "telephone_number": "585-467-9790",
            "fax_number": "585-467-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHESTER MEDICAL WEIGHT LOSS, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "GULE-RANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-467-9790",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "NY",
            "license": "190081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 Jun 25, 2014; 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.