Jerry Joseph Svoboda, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

158142 Issued in NY

Practice address

2655 Ridgeway Ave
Suite 240
Rochester, NY 14626-4296

Phone

(585) 723-7060

Fax

(585) 723-7325

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rochester Vascular Surgery Associates, P.C.

  • Vascular Surgery Physician
  • Rochester, NY
  • NPI 1871609347
  NPD
• Rochester Vascular Medicine, PC

  • Vascular Surgery Physician
  • Rochester, NY
  • NPI 1942488309
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1295837227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-723-7060",
            "fax_number": "585-723-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 RIDGEWAY AVE",
            "address_2": "SUITE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264296",
            "telephone_number": "585-723-7060",
            "fax_number": "585-723-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SVOBODA",
        "first_name": "JERRY",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "158142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00833505",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne Cassata D.D.S.
• Suzanne Sefton-Silver Psychology PH.D. PC
• Jefferson Svengsouk, MD
• Larisa Sviridyuk, RN
• Zhanna Sviridyuk
• Britta M Svoren, M.D.
• Soultana S Swain, RPH
• Kristin Swallow, RPA-C
• Priya Swaminathan, MD
• Hannah Lorena Swan-Leuze, MPAS, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.