NPIMap

Organization Active NPI

Westside Orthopaedic Group P.C.

  • Orthopaedic Surgery Physician
  • Rochester, NY
National Provider Identifier
1346271871
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
156391-1 Issued in NY
Legal business name
WESTSIDE ORTHOPAEDIC GROUP P.C.
Practice address
2211 Lyell Ave
Suite 107
Rochester, NY 14606-5743
Phone
(585) 429-6440
Fax
(585) 429-6661
NPI assigned
Jul 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gerry Dulnik, R.T.
Title
Office Manager
Phone
(585) 429-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 156391-1 NY Primary

Addresses

Primary practice location

2211 Lyell Ave
Suite 107
Rochester, NY 14606-5743

Mailing address

2211 Lyell Ave
Suite 107
Rochester, NY 14606-5743
Phone (585) 429-6440

Other identifiers 1

IdentifierTypeStateIssuer
01528963MedicaidNY

National Provider Directory

National Provider Directory

Locations

2211 Lyell Ave
Ste 107
Rochester, NY 14606
Phone (585) 295-5476

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346271871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 LYELL AVE",
            "address_2": "SUITE 107",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065743",
            "telephone_number": "585-429-6440",
            "fax_number": "585-429-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 LYELL AVE",
            "address_2": "SUITE 107",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146065743",
            "telephone_number": "585-429-6440",
            "fax_number": "585-429-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE ORTHOPAEDIC GROUP P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DULNIK",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-429-6440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.T."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "156391-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01528963",
            "state": "NY"
        }
    ],
    "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 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.