Organization Active NPI

U of R Neurology Department

  • Neurology Physician
  • Rochester, NY
National Provider Identifier
1184725525
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01477210MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040302000743 NY Part B Supplier - Clinic/Group Practice 1456248699 Receives reassigned benefits from 231 practitioners
Practice locations: Rochester, NY; Pittsford, NY; Canandaigua, NY; Big Flats, NY; Batavia, NY

National Provider Directory

National Provider Directory

Locations

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.

View all 319

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.

Verify at the official NPI Registry.