Active NPI
Kole Tondryk
- School Social Worker
- Livonia, NY
National Provider Identifier
1104505486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 108872
- Practice address
- 40 Spring St
Livonia, NY 14487-9703 - Phone
- (585) 346-4000
- NPI assigned
- Jul 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 108872 | NY | Primary |
Addresses
Primary practice location
40 Spring St
Livonia, NY 14487-9703
Mailing address
282 Hartsdale Rd
Rochester, NY 14622-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108872 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689292800000",
"number": "1104505486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "282 HARTSDALE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146222050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 SPRING ST",
"city": "LIVONIA",
"state": "NY",
"postal_code": "144879703",
"telephone_number": "585-346-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONDRYK",
"first_name": "KOLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-14",
"last_updated": "2023-07-14",
"certification_date": "2023-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "108872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.