Western New York Medical Practice, P.C.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WESTERN NEW YORK MEDICAL PRACTICE, P.C.

Practice address

1445 Portland Ave Ste 210
Rochester, NY 14621-3008

Phone

(585) 266-2010

NPI assigned

Apr 7, 2021

Organization subpart

Yes

Parent organization

WESTERN NEW YORK MEDICAL PRACTICE, P.C.As reported in NPPES

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

Authorized official

Name

Nichole S Holder

Title

Director of Payer Enrollment

Phone

(585) 922-0293

Specialties & licenses 1

Addresses

Other names 1

• WNY Ortho at RGH Doing business as

Part of

Western New York Medical Practice PC

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1093394983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PORTLAND AVE STE 210",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213008",
            "telephone_number": "585-266-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN NEW YORK MEDICAL PRACTICE, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERN NEW YORK MEDICAL PRACTICE, P.C.",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "HOLDER",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER ENROLLMENT",
        "authorized_official_telephone_number": "585-922-0293"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WNY Ortho at RGH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Western New York Medical Practice P.C.
• Western New York Medical Practice P.C.
• Western New York Medical Practice PC
• Western New York Medical Practice PC
• Western New York Medical Practice, P.C.
• Western New York Medical Practice, P.C.
• Western New York Medical Practice, P.C.
• Western New York Medical Practice, P.C.
• Western New York Medical Practice, P.C.
• Western New York Medical Practice, P.C.

• All providers in Rochester, NY
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.