Active NPI
Jaroslaw J Fedorowski, MD
- Cardiology Technician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Technician
- License
- 205964
- Practice address
- 200 Buell Rd
Suite 10
Rochester, NY 14624-3134 - Phone
- (585) 235-3220
- Fax
- (585) 235-3231
- NPI assigned
- May 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiology Technician | 246W00000X | 205964 | NY | Primary |
Addresses
Primary practice location
200 Buell Rd
Suite 10
Rochester, NY 14624-3134
Mailing address
200 Buell Rd
Suite 10
Rochester, NY 14624-3134
Phone (585) 235-3220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Hospital & facility affiliations
- The University of Vermont Health Network - Champl
- Adirondack Medical Center - Saranac Lake
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Valley Pathology, PLLC | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Current | Accepting new patients | |
| Plattsburgh Internal Medicine | Past | Accepting new patients | |
| Atlantic Professional Services of Rhode Island Incorporated | Past | Accepting new patients | |
| Afterhours Imaging, LLC | Past | Accepting new patients | |
| C J M Medical PC | Past | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
135 S Peru St
Plattsburgh, NY 12901
Phone (518) 561-1321
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
Interoperability endpoints
- jfedorowski472595@direct.uvmhealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- Anatomic Pathology & Clinical Pathology Physician
- Plattsburgh, NY
- NPI 1700180684
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1215977020
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1457497299
-
- Community Health Clinic/Center
- Plattsburgh, NY
- NPI 1992192991
-
- Hospitalist Physician
- Wakefield, RI
- NPI 1922036946
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1174570675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BUELL RD",
"address_2": "SUITE 10",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243134",
"telephone_number": "585-235-3220",
"fax_number": "585-235-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUELL RD",
"address_2": "SUITE 10",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243134",
"telephone_number": "585-235-3220",
"fax_number": "585-235-3231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDOROWSKI",
"first_name": "JAROSLAW",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "246W00000X",
"taxonomy_group": "",
"desc": "Technician, Cardiology",
"state": "NY",
"license": "205964",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.