University of Rochester Pediatric Neurosurgery

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

UNIVERSITY OF ROCHESTER PEDIATRIC NEUROSURGERY

Practice address

601 Elmwood Ave
Rochester, NY 14642-0001

Phone

(585) 758-7671

Fax

(585) 784-6064

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Martin J Haibach

Title

Cfo

Phone

(585) 756-4010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1235387267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-758-7671",
            "fax_number": "585-784-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ROCHESTER PEDIATRIC NEUROSURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "HAIBACH",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-756-4010"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Rochester Medical Center
• University of Rochester Neuro-Ophthalmology Services
• University of Rochester Neurosurgery Group
• University of Rochester OBGYN Subspecialties
• University of Rochester Orthopaedic Oncology Division
• University of Rochester Pediatric Ophthalmology Services
• University of Rochester Pediatric Otolaryngology Associates
• University of Rochester Physical Medicine and Rehabilitation
• University of Rochester Strong Hospital
• University of Rochester Surgical Associates

• Pediatric Surgery Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatric Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.