Individual provider Active NPI

Brunilda Kolaj, MD

  • Family Medicine Physician
  • Wolcott, NY
National Provider Identifier
1114368610
Registry record updated Jun 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
286472 Issued in NY
Practice address
6254 Lawville Rd
Wolcott, NY 14590-9792
Phone
(315) 594-9444
Fax
(315) 594-9276
NPI assigned
Jul 12, 2013
Last updated
Jun 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 286472 NY Primary

Addresses

Primary practice location

6254 Lawville Rd
Wolcott, NY 14590-9792

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (315) 594-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161111001499 NY Practitioner - Family Practice 6800175977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

5100 W Taft Rd
Liverpool, NY 13088-3807
Phone (315) 452-2828

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Aug 10, 2020 Accepting new patients
Rochester General Hospital CurrentSince Aug 10, 2020 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Rochester General Hospital Family Medicine CurrentSince Aug 10, 2020 Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Nov 1, 2016 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients

Locations

5100 W Taft Rd
Ste 1D
Liverpool, NY 13088
Phone (315) 452-2828

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

6254 Lawville Rd
Wolcott, NY 14590
Phone (315) 594-9444

Interoperability endpoints

  • Direct secure messaging: bkolaj3805997@direct.trinity-health.org

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592179200000",
    "number": "1114368610",
    "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": "315-594-9444",
            "fax_number": "315-594-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6254 LAWVILLE RD",
            "city": "WOLCOTT",
            "state": "NY",
            "postal_code": "145909792",
            "telephone_number": "315-594-9444",
            "fax_number": "315-594-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAJ",
        "first_name": "BRUNILDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-12",
        "last_updated": "2020-06-15",
        "certification_date": "2020-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "286472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, NY

Sources for this page

Verify at the official NPI Registry.