Active NPI
Bernedette P Minnella MD PLLC
- Internal Medicine Physician
- Rochester, NY
National Provider Identifier
1255524310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 239507-1
- Legal business name
- BERNEDETTE P MINNELLA MD PLLC
- Practice address
- 300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606 - Phone
- (585) 697-7040
- NPI assigned
- Aug 22, 2007
- Last updated
- Oct 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernedette P Minnella, MD
- Title
- Sole Member
- Phone
- (585) 697-7040
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 239507-1 | NY | Primary |
Addresses
Primary practice location
300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606
Mailing address
300 White Spruce Blvd
Suite 100
Rochester, NY 14623-1606
Phone (585) 697-7040
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1366550162
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665273600000",
"number": "1255524310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 WHITE SPRUCE BLVD",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231606",
"telephone_number": "585-697-7040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 WHITE SPRUCE BLVD",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231606",
"telephone_number": "585-697-7040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNEDETTE P MINNELLA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-22",
"last_updated": "2022-10-09",
"certification_date": "2022-10-09",
"status": "A",
"authorized_official_last_name": "MINNELLA",
"authorized_official_first_name": "BERNEDETTE",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "585-697-7040",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "239507-1",
"primary": true
}
],
"identifiers": [],
"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 Oct 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.