Organization Active NPI

University of Rochester OBGYN Subspecialties

  • Obstetrics & Gynecology Physician
  • Rochester, NY
National Provider Identifier
1205084969
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
UNIVERSITY OF ROCHESTER OBGYN SUBSPECIALTIES
Practice address
601 Elmwood Ave
Rochester, NY 14642-0002
Phone
(585) 758-7671
NPI assigned
Sep 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 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 Finance, Urmgg
Phone
(585) 756-4008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

601 Elmwood Ave
Rochester, NY 14642-0002

Mailing address

601 Elmwood Ave Box 668
Rochester, NY 14642-0001
Phone (585) 275-5705

Other identifiers 1

IdentifierTypeStateIssuer
03158023MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000642 NY Part B Supplier - Clinic/Group Practice 8921161357 Receives reassigned benefits from 39 practitioners
Practice locations: Rochester, NY; Webster, NY

National Provider Directory

National Provider Directory

Locations

125 Lattimore Rd
Ste 150
Rochester, NY 14620
Phone (585) 275-2691

158 Sawgrass Dr
Fl 2
Rochester, NY 14620
Phone (585) 275-1230

454 E Broad St
#100
Rochester, NY 14607
Phone (585) 276-7640

601 Elmwood Ave
#668
Rochester, NY 14642
Phone (585) 275-2691

125 Lattimore Rd
Ste 170
Rochester, NY 14620
Phone (585) 487-3420

500 Red Creek Dr
Ste 120
Rochester, NY 14623
Phone (585) 487-3400

500 Red Creek Dr
Ste 220
Rochester, NY 14623
Phone (585) 487-3378

454 E Broad St
Rochester, NY 14607
Phone (585) 276-7640

1682 Empire Blvd
Ofc Park
Webster, NY 14580

Practitioners & affiliated clinicians

Practitioners 69

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

View all 69

NPI Registry JSON

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1205084969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 668",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420002",
            "telephone_number": "585-758-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ROCHESTER OBGYN SUBSPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR FINANCE, URMGG",
        "authorized_official_telephone_number": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03158023",
            "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 11, 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.