Henry Phelps Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

441543181 Issued in NY

Practice address

873 Grand Ave
Rochester, NY 14609-6546

Phone

(585) 259-5367

NPI assigned

May 5, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462406400000",
    "number": "1114373321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 GRAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146096546",
            "telephone_number": "585-259-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 GRAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146096546",
            "telephone_number": "585-259-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "HENRY",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "441543181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethany Phelps, MSN FNP-C
• Chanel S Phelps, LPN
• Chauncey Lamont Phelps
• Dale L Phelps, MD
• Darquin Lamar Phelps
• Lynn Marie Phelps, PA-C
• Rachael Phelps, M.D.
• Rebecca Phelps
• Alina Phen, DDS
• Avner Phen, DMD

• Non-emergency Medical Transport (VAN) in Rochester, NY
• Providers in Rochester, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.