Internal Medicine on East Ridge, LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

196460 Issued in NY

Legal business name

INTERNAL MEDICINE ON EAST RIDGE, LLC

Practice address

1880 East Ridge Road, Suite 5
Rochester, NY 14622

Phone

(585) 697-7775

Fax

(585) 697-7776

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Jean Iannucci, M.D.NPI 1922068840

Title

Physician Owner

Phone

(585) 697-7775

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Jean Iannucci, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, NY
  • NPI 1922068840
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306058433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 EAST RIDGE ROAD, SUITE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14622",
            "telephone_number": "585-697-7775",
            "fax_number": "585-697-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 EAST RIDGE ROAD, SUITE 5",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14622",
            "telephone_number": "585-697-7775",
            "fax_number": "585-697-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ON EAST RIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IANNUCCI",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "585-697-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "196460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Interlichia-Markham, LMSW
• Brianna Lynn Interlichia
• Internal Medicine Group
• Internal Medicine Group
• Internal Medicine of Brighton, PLLC
• Intrepid of New York Inc
• Anthony Inzana, P.A.
• Carol Rose Inzinga, LCSW
• Matthew Iorio, MSW
• Shanierae Christien Iorio, LPN

• Geriatric Medicine (Internal Medicine) Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.