Individual provider Active NPI

Jeffrey D Alberts, MD

  • Specialist
  • Rochester, NY
National Provider Identifier
1104899335
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
222620 Issued in NY
Practice address
1081 Long Pond Rd Ste 240
Rochester, NY 14626-5002
Phone
(585) 225-2600
Fax
(585) 225-2606
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Adolescent & Young Adult Health Past Accepting new patients
Rochester General Hospital Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 222620 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1081 Long Pond Rd Ste 240
Rochester, NY 14626-5002

Mailing address

1081 Long Pond Rd Ste 240
Rochester, NY 14626-5002
Phone (585) 225-2600

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02357606MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 11, 2012.

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1104899335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 LONG POND RD STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265002",
            "telephone_number": "585-225-2600",
            "fax_number": "585-225-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 LONG POND RD STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265002",
            "telephone_number": "585-225-2600",
            "fax_number": "585-225-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERTS",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "222620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02357606",
            "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 Apr 11, 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.