Mammography of the University of Rochester

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MAMMOGRAPHY OF THE UNIVERSITY OF ROCHESTER

Practice address

601 Elmwood Ave
Rochester, NY 14642-0002

Phone

(585) 758-7671

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Jill M Hetterich

Title

Senior Director of Finance Urmfg

Phone

(585) 756-4008

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 26

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.

• Olga Bauman-Fishkin, MD

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1730274358
  Medicare reassignment Care Compare group NPD
• Ariel Chaim Fisher, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1043745813
  Medicare reassignment Care Compare group NPD
• Jennifer A. Harvey, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1275678815
  Medicare reassignment Care Compare group NPD
• Jay Im

  • Student in an Organized Health Care Education/Training Program
  • Buffalo, NY
  • NPI 1710506589
  Medicare reassignment Care Compare group NPD
• Radha R. Iyer, MD

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1689643025
  Medicare reassignment Care Compare group NPD
• Stacey Kontoh, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
  • NPI 1699032995
  Medicare reassignment Care Compare group NPD
• Patricia Elisa Melendez Moreno, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1336590934
  Medicare reassignment Care Compare group NPD
• Rodolfo Queiroz, MD

  • Diagnostic Radiology Physician
  • Geneva, NY
  • NPI 1326018375
  Medicare reassignment Care Compare group NPD
• Leah Rossett, M.D.

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1518301787
  Medicare reassignment Care Compare group NPD
• Alicia Christine Shaikh, O.D., D.O.

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1609020791
  Medicare reassignment Care Compare group NPD
• Jennifer Nicole Taylor, D.O.

  • Diagnostic Radiology Physician
  • Syracuse, NY
  • NPI 1073803458
  Medicare reassignment Care Compare group NPD
• Kyle Leland Berliner, DO

  • Student in an Organized Health Care Education/Training Program
  • Danville, PA
  • NPI 1346709169

  NY

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1447408208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 648",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420002",
            "telephone_number": "585-758-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMMOGRAPHY OF THE UNIVERSITY OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE URMFG",
        "authorized_official_telephone_number": "585-756-4008"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "DP0057",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03063994",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajasekhar Srinivasa Rama Malyala, M.D.
• Mama Manatee LLC (Seniors Helping Seniors of Rochester)
• Dzheikhuna Mamedova
• Bilal Mammah, DMD
• Manoj Jacob Mammen, M.D.
• Soyon Mamo, PHARM.D
• Li-Xing Man, M.D.
• Sari Ratna Manap, DDS
• Deanna Manard, RN
• Ahmad Ismael Manasra, M.D.

• Diagnostic Radiology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Diagnostic Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.