Organization Active NPI

S Danesh MD PC

  • Surgery Physician
  • Batavia, NY
National Provider Identifier
1205022571
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
1054641 Issued in NY
Legal business name
S DANESH MD PC
Practice address
115 Washington Ave
Batavia, NY 14020
Phone
(585) 343-1502
Fax
(585) 343-7202
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Authorized official

Name
Mrs. Janet Bachulak
Title
Secretary Biller
Phone
(585) 343-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 1054641 NY Primary

Addresses

Primary practice location

115 Washington Ave
Batavia, NY 14020

Mailing address

115 Washington Ave
Batavia, NY 14020
Phone (585) 343-1502

National Provider Directory

National Provider Directory

Locations

115 Washington Ave
Batavia, NY 14020
Phone (585) 343-1502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1205022571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WASHINGTON AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-343-1502",
            "fax_number": "585-343-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WASHINGTON AVE",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "14020",
            "telephone_number": "585-343-1502",
            "fax_number": "585-343-7202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S DANESH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "BACHULAK",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "SECRETARY BILLER",
        "authorized_official_telephone_number": "585-343-1502",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "1054641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.