NPIMap

Individual provider Active NPI

Kelly Lynn Andrzejewski, D.O., PH.D.

  • Neurology Physician
  • Rochester, NY
National Provider Identifier
1295051886
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
274246 Issued in NY
Practice address
919 Westfall Rd
BLDG. C - Suite 220
Rochester, NY 14618-2638
Phone
(585) 341-7500
Fax
(585) 341-7510
NPI assigned
Apr 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 274246 NY Primary

Addresses

Primary practice location

919 Westfall Rd
BLDG. C - Suite 220
Rochester, NY 14618-2638

Mailing address

601 Elmwood Ave
Box 278984
Rochester, NY 14642-0001
Phone (585) 341-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140620000652 NY Practitioner - Neurology 9234353848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Michigan State University College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Neurology, IncGroup PAC ID 8628048949, 38 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 859-3720

1001 Main St
FL 4
Buffalo, NY 14203-1009
Phone (716) 323-0500

5851 Main St
Williamsville, NY 14221-5799
Phone (716) 932-6080

665 Elm St
Buffalo, NY 14203-1104
Phone (716) 845-2300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
274246NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles T Sitrin Health Care Center, Inc CurrentSince Dec 27, 2017 Accepting new patients
Kaleida Health CurrentSince Jul 1, 2016 Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Kaleida Health Current Accepting new patients
Charles T. Sitrin Health Care Center, Inc CurrentSince Dec 27, 2017 Accepting new patients
Kaleida Health CurrentSince Jul 1, 2016 Accepting new patients
University at Buffalo Pathologists, Inc Current Accepting new patients
Western New York Licensed Clinical Social Work Services, PLLC PastSince Apr 24, 2023 Accepting new patients

Locations

100 High St
#13282
Buffalo, NY 14203

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

2050 Tilden Ave
New Hartford, NY 13413
Phone (315) 737-2466

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

Interoperability endpoints

  • Direct secure messaging: kellyandrzejewski@ubmd.allscriptsdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1295051886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 278984",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-341-7500",
            "fax_number": "585-341-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD",
            "address_2": "BLDG. C - SUITE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182638",
            "telephone_number": "585-341-7500",
            "fax_number": "585-341-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRZEJEWSKI",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.O., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "274246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.