Organization Active NPI

Letchworth Family Medicine PC

Doing business as Letchworth Family Medicine

  • Family Medicine Physician
  • Perry, NY
National Provider Identifier
1154313351
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LETCHWORTH FAMILY MEDICINE PC
Doing business as
Letchworth Family Medicine
Practice address
3 Handley St
Perry, NY 14530-1342
Phone
(585) 237-3227
Fax
(585) 237-6075
NPI assigned
Aug 16, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Jennifer Webber
Title
Office Manager
Phone
(585) 237-3227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NY Primary

Addresses

Primary practice location

3 Handley St
Perry, NY 14530-1342

Mailing address

3 Handley St
Perry, NY 14530-1342
Phone (585) 237-3227

Other identifiers 1

IdentifierTypeStateIssuer
00488564MedicaidNY

Other names 1

  • Letchworth Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

3 Handley St
Perry, NY 14530
Phone (585) 237-3227

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154313351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HANDLEY ST",
            "city": "PERRY",
            "state": "NY",
            "postal_code": "145301342",
            "telephone_number": "585-237-3227",
            "fax_number": "585-237-6075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HANDLEY ST",
            "city": "PERRY",
            "state": "NY",
            "postal_code": "145301342",
            "telephone_number": "585-237-3227",
            "fax_number": "585-237-6075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETCHWORTH FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBBER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-237-3227",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00488564",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Letchworth Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.