Organization Active NPI

Hillside Children'S Center

  • Community/Behavioral Health Agency
  • Rochester, NY
National Provider Identifier
1124355771
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HILLSIDE CHILDREN'S CENTER
Practice address
1183 Monroe Ave
Rochester, NY 14620-1662
Phone
(585) 654-1418
Fax
(585) 654-1450
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Mr. Gary Antinone
Title
Accounts Receivable
Phone
(585) 654-1418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1183 Monroe Ave
Rochester, NY 14620-1662

Mailing address

1183 Monroe Ave
Rochester, NY 14620-1662
Phone (585) 654-1418

Other identifiers 1

IdentifierTypeStateIssuer
02205865MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Hillside Children'S Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1124355771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201662",
            "telephone_number": "585-654-1418",
            "fax_number": "585-654-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 MONROE AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201662",
            "telephone_number": "585-654-1418",
            "fax_number": "585-654-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE CHILDREN'S CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "ANTINONE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "585-654-1418",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205865",
            "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 Nov 3, 2009; 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.