Organization Active NPI

Seaboard Financial

  • Pediatric Adolescent Medicine Physician
  • Rochester, NY
National Provider Identifier
1124688635
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
SEABOARD FINANCIAL
Practice address
39 N Goodman St
Rochester, NY 14607-1578
Phone
(585) 271-2937
Fax
(585) 271-3575
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Joseph Kilimnick, M.D., MD
Title
Owner
Phone
(585) 271-2937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

39 N Goodman St
Rochester, NY 14607-1578

Mailing address

39 N Goodman St
Rochester, NY 14607-1578
Phone (585) 271-2937

Other identifiers 1

IdentifierTypeStateIssuer
01881025MedicaidNY

Other names 1

  • JOSEPH KILIMNICK,MD Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL JKPEDS@GMAIL.COM

National Provider Directory

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": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1124688635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 N GOODMAN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071578",
            "telephone_number": "585-271-2937",
            "fax_number": "585-271-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 N GOODMAN ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071578",
            "telephone_number": "585-271-2937",
            "fax_number": "585-271-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEABOARD FINANCIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "KILIMNICK, M.D.",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-271-2937",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01881025",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JKPEDS@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "E-MAIL",
            "address_1": "39 N Goodman St",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146071578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "JOSEPH KILIMNICK,MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 17, 2019; 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.