Active NPI
Nicolas A Venci, MD
- Family Medicine Physician
- Webster, NY
National Provider Identifier
1417948191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 174375-6
- Practice address
- 45 Webster Commons Blvd
Suite 200
Webster, NY 14580-3813 - Phone
- (585) 872-0650
- Fax
- (585) 872-2474
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 174375-6 | NY | Primary |
Addresses
Primary practice location
45 Webster Commons Blvd
Suite 200
Webster, NY 14580-3813
Mailing address
45 Webster Commons Blvd
Suite 200
Webster, NY 14580-3813
Phone (585) 872-0650
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01084293 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174375-6 | NY | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1417948191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 WEBSTER COMMONS BLVD",
"address_2": "SUITE 200",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145803813",
"telephone_number": "585-872-0650",
"fax_number": "585-872-2474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 WEBSTER COMMONS BLVD",
"address_2": "SUITE 200",
"city": "WEBSTER",
"state": "NY",
"postal_code": "145803813",
"telephone_number": "585-872-0650",
"fax_number": "585-872-2474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENCI",
"first_name": "NICOLAS",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "174375-6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01084293",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Webster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.