Organization Active NPI

MD Oncology, PLLC

  • Radiation Oncology Physician
  • Rochester, NY
National Provider Identifier
1417033796
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
MD ONCOLOGY, PLLC
Practice address
125 Red Creek Dr
Rochester, NY 14623-4272
Phone
(585) 486-0600
Fax
(585) 486-0649
NPI assigned
Oct 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Jan Dombrowski, MDNPI 1275587859
Title
Doctor
Phone
(585) 486-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

125 Red Creek Dr
Rochester, NY 14623-4272

Mailing address

125 Red Creek Dr
Rochester, NY 14623-4272
Phone (585) 486-0600

National Provider Directory

National Provider Directory

Locations

125 Red Creek Dr
Rochester, NY 14623
Phone (585) 486-0600

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1161993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1417033796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 RED CREEK DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234272",
            "telephone_number": "585-486-0600",
            "fax_number": "585-486-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RED CREEK DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234272",
            "telephone_number": "585-486-0600",
            "fax_number": "585-486-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD ONCOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-28",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "DOMBROWSKI",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "585-486-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 2008; 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.