Organization Active NPI

Strong Medical Group

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1184664948
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STRONG MEDICAL GROUP
Practice address
777 Clinton Ave S
Rochester, NY 14620-1448
Phone
(585) 279-4800
NPI assigned
Jun 8, 2006
Last updated
Aug 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Jill M Hetterich
Title
Senior Director of Finance Urmfg
Phone
(585) 756-4008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

777 Clinton Ave S
Rochester, NY 14620-1448

Mailing address

135 Corporate Woods Ste 200C
Rochester, NY 14623-1459
Phone (585) 784-7848

Other identifiers 1

IdentifierTypeStateIssuer
02560314MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000722 NY Part B Supplier - Clinic/Group Practice 6608850987 Receives reassigned benefits from 119 practitioners
Practice locations: Hornell, NY; Williamson, NY; Rochester, NY; Perry, NY; Marion, NY; Bath, NY; Batavia, NY

National Provider Directory

National Provider Directory

Locations

2828 Baird Rd
Fairport, NY 14450
Phone (585) 249-0020

49 Center St
Hornell, NY 14843
Phone (607) 281-1970

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

2212 Penfield Rd
Ste 200
Penfield, NY 14526
Phone (585) 598-8565

3 Handley St
Ste 2
Perry, NY 14530
Phone (585) 231-3227

135 Corporate Woods
Ste 200C
Rochester, NY 14623
Phone (585) 784-7848

1860 Buffalo Rd
Rochester, NY 14624
Phone (585) 441-9300

2400 S Clinton Ave
Ste G2
Rochester, NY 14618
Phone (585) 341-7685

2400 S Clinton Ave
Ste H110
Rochester, NY 14618
Phone (585) 461-0340

2400 S Clinton Ave
Ste H230
Rochester, NY 14618
Phone (585) 341-7200

2561 Lac de Ville Blvd
Ste 202
Rochester, NY 14618
Phone (585) 244-7330

4418 Ridge Rd
Ste 1
Williamson, NY 14589
Phone (315) 589-4641

Practitioners & affiliated clinicians

Practitioners 207

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 207

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1184664948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 CORPORATE WOODS STE 200C",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231459",
            "telephone_number": "585-784-7848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLINTON AVE S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201448",
            "telephone_number": "585-279-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRONG MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE URMFG",
        "authorized_official_telephone_number": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02560314",
            "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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.