Active NPI
Debra Lynn Roetzer
- Specialist
- Corfu, NY
National Provider Identifier
1316208366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 1078 Sliker Rd
Corfu, NY 14036-9791 - Phone
- (716) 548-1149
- NPI assigned
- Jun 6, 2012
- Last updated
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1078 Sliker Rd
Corfu, NY 14036-9791
Mailing address
1078 Sliker Rd
Corfu, NY 14036-9791
Phone (716) 548-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1316208366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1078 SLIKER RD",
"city": "CORFU",
"state": "NY",
"postal_code": "140369791",
"telephone_number": "716-548-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1078 SLIKER RD",
"city": "CORFU",
"state": "NY",
"postal_code": "140369791",
"telephone_number": "716-548-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROETZER",
"first_name": "DEBRA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corfu, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.