Active NPI
U of R Neurology Department
- Neurology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- U OF R NEUROLOGY DEPARTMENT
- Practice address
- 601 Elmwood Ave
Box 278984
Rochester, NY 14642-0001 - Phone
- (585) 275-8420
- Fax
- (585) 242-9164
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 22, 2019
- Organization subpart
- No
NPPES NPI Registry
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) 756-4003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Box 278984
Rochester, NY 14642-0001
Mailing address
601 Elmwood Ave Box 670
Rochester, NY 14642-0001
Phone (585) 275-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01477210 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7995 Call Pkwy
Ste 100
Batavia, NY 14020
Phone (585) 273-2727
84 Canal St
Big Flats, NY 14814
Phone (607) 301-4141
156 West Ave
Ste 107
Brockport, NY 14420
Phone (585) 271-1620
125 Red Creek Dr
Ste 101
Rochester, NY 14623
Phone (585) 486-0600
1351 Mount Hope Ave
Rochester, NY 14620
Phone (585) 275-9138
2180 S Clinton Ave
Rochester, NY 14618
Phone (585) 225-5767
4901 Lac de Ville Blvd
Ste 240
Rochester, NY 14618
601 Elmwood Ave
#278984
Rochester, NY 14642
Phone (585) 275-1200
Practitioners & affiliated clinicians
Practitioners 319
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.
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- NPI 1407475437
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- Neurology Physician
- Rochester, NY
- NPI 1154825594
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- Neurology Physician
- Rochester, NY
- NPI 1114953924
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- Neurology Physician
- Rochester, NY
- NPI 1962068320
-
- Neurology Physician
- Rochester, NY
- NPI 1508156324
-
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- Rochester, NY
- NPI 1912932872
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- Neurology Physician
- Rochester, NY
- NPI 1659585297
-
- Vascular Neurology Physician
- Rochester, NY
- NPI 1124062211
-
- Neurology Physician
- Rochester, NY
- NPI 1639113723
-
- Neurology with Special Qualifications in Child Neurology Physician
- Rochester, NY
- NPI 1689093445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566432000000",
"number": "1184725525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE BOX 670",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 278984",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-275-8420",
"fax_number": "585-242-9164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "U OF R NEUROLOGY DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2019-08-22",
"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": "585-756-4003"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01477210",
"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 22, 2019; 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.