NPIMap

Individual provider Active NPI

Jose R Canario Jr., MD

  • Family Medicine Physician
  • Ovid, NY
National Provider Identifier
1356565519
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
243042 Issued in NY
Practice address
7150 Main St
Ovid, NY 14521-9401
Phone
(607) 403-0065
Fax
(607) 403-0093
NPI assigned
Apr 12, 2007
Last updated
Apr 4, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 243042 NY Primary

Addresses

Primary practice location

7150 Main St
Ovid, NY 14521-9401

Mailing address

PO Box 423
Penn Yan, NY 14527-0423
Phone (315) 531-9102

Other identifiers 2

IdentifierTypeStateIssuer
02866879MedicaidNY
243042OtherNYLICENSE

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
I20070904000483 NY Practitioner - Family Practice 7012000201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560

351 N St
Suite 100
Canandaigua, NY 14424-1297
Phone (585) 975-5125

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
243042NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Community Health Family Medicine CurrentSince Apr 10, 2019 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Mar 25, 2024 Accepting new patients
The Frederick Ferris Thompson Hospital CurrentSince Mar 25, 2024 Accepting new patients
Finger Lakes Community Health Family Medicine PastSince Nov 1, 2016 Accepting new patients

Locations

350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000

351 North St
Canandaigua, NY 14424
Phone (585) 975-5125

73 Buffalo St
Ste 100
Canandaigua, NY 14424

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

7150 Main St
Ovid, NY 14521
Phone (607) 403-0065

15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560

Interoperability endpoints

  • Direct secure messaging: jcanario83087@direct.urmc.rochester.edu

Organizations & group practices 4

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

Hospital & facility affiliations 7

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1356565519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145270423",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 MAIN ST",
            "city": "OVID",
            "state": "NY",
            "postal_code": "145219401",
            "telephone_number": "607-403-0065",
            "fax_number": "607-403-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANARIO",
        "first_name": "JOSE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "243042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02866879",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "243042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ovid, NY

Sources for this page

Verify at the official NPI Registry.