Active NPI
Stuart L. Loeb, M.D.
- Child & Adolescent Psychiatry Physician
- Rochester, NY
National Provider Identifier
1205997954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 133041
- Practice address
- 224 Alexander St
Rochester, NY 14607-4000 - Phone
- (585) 922-7717
- Fax
- (585) 922-7246
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 133041 | NY | Primary |
Addresses
Primary practice location
224 Alexander St
Rochester, NY 14607-4000
Mailing address
61 Monroe Ave
Suite E
Pittsford, NY 14534-1311
Phone (585) 248-8190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00496502 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453852800000",
"number": "1205997954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 MONROE AVE",
"address_2": "SUITE E",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145341311",
"telephone_number": "585-248-8190",
"fax_number": "585-256-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 ALEXANDER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146074000",
"telephone_number": "585-922-7717",
"fax_number": "585-922-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOEB",
"first_name": "STUART",
"middle_name": "L.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2016-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "133041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00496502",
"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 Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.