Organization Active NPI

Ridgewood Medical Group LLP

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1154447324
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RIDGEWOOD MEDICAL GROUP LLP
Practice address
2081 W Ridge Rd
Suite 205
Rochester, NY 14626-2724
Phone
(585) 227-4560
Fax
(585) 227-4608
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Michael T Herbowy, MD
Title
Partner
Phone
(585) 227-5157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2081 W Ridge Rd
Suite 205
Rochester, NY 14626-2724

Mailing address

2081 W Ridge Rd
Suite 205
Rochester, NY 14626-2724
Phone (585) 227-4560

Other identifiers 2

IdentifierTypeStateIssuer
215928OtherNYLICENSE HERBOWY
132960OtherNYLICENSE HELLEMS

National Provider Directory

National Provider Directory

Locations

3101 W Ridge Rd
Bldg B
Rochester, NY 14626
Phone (585) 227-4560

2081 W Ridge Rd
Ste 205
Rochester, NY 14626
Phone (585) 227-4560

Practitioners & affiliated clinicians

Practitioners 4

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1154447324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2081 W RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-4560",
            "fax_number": "585-227-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2081 W RIDGE RD",
            "address_2": "SUITE 205",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262724",
            "telephone_number": "585-227-4560",
            "fax_number": "585-227-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD MEDICAL GROUP LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "HERBOWY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "585-227-5157",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE HERBOWY",
            "identifier": "215928",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE HELLEMS",
            "identifier": "132960",
            "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 Oct 1, 2010; 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.