Edwin Jimenez, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

326173 Issued in NY

Practice address

2 Coulter Rd Ste 1680
Clifton Springs, NY 14432-1122

Phone

(315) 462-2636

Fax

(315) 359-2675

NPI assigned

Apr 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1164085932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "fax_number": "585-922-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COULTER RD STE 1680",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321122",
            "telephone_number": "315-462-2636",
            "fax_number": "315-359-2675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Canandaigua Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562015",
            "country_code": "US",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131059",
            "country_code": "US",
            "telephone_number": "315-359-2670",
            "fax_number": "315-359-2675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Clarkson Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-270-3302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "326173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ejimenez450788@direct.rochesterregional.org",
            "affiliation": "N",
            "endpointDescription": "Rochester Regional Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Coulter Rd Ste 1680",
            "city": "Clifton Springs",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144321122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Interlakes Orthopaedic Surgery, PC
• Paige Ashton Jablonski, RD
• Elizabeth Dana Jaffe, PA-C
• Lauren Kay Jamieson, DPT
• Dong-Joon Jhang, LMHC-P
• Nancy Jordan, RN
• Melisa Lynn Kauder, FNP
• Caitlin Rose Kernan
• Heidi Keyser, LCSW
• Allison Erin Kinnear

• Surgery Physician in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.