Organization Active NPI

Marci J Chodroff, MD, LLC

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1467647362
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
197727 Issued in NY
Legal business name
MARCI J CHODROFF, MD, LLC
Practice address
919 Westfall Rd.
Building B, Suite 110
Rochester, NY 14618
Phone
(585) 442-5150
Fax
(585) 442-5152
NPI assigned
Sep 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Marci J Chodroff, MD
Title
Owner
Phone
(585) 442-5150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 197727 NY Primary

Addresses

Primary practice location

919 Westfall Rd.
Building B, Suite 110
Rochester, NY 14618

Mailing address

919 Westfall Rd.
Building B, Suite 110
Rochester, NY 14618
Phone (585) 442-5150

Other identifiers 2

IdentifierTypeStateIssuer
P010197727OtherNYBLUE CHOICE
101558BJOtherNYPREFERRED CARE

National Provider Directory

National Provider Directory

Locations

919 Westfall Rd
#B
Rochester, NY 14618
Phone (585) 442-5150

919 Westfall Rd
Ste B110
Rochester, NY 14618
Phone (585) 442-5150

Practitioners & affiliated clinicians

Practitioners 3

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": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1467647362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD.",
            "address_2": "BUILDING B, SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-442-5150",
            "fax_number": "585-442-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WESTFALL RD.",
            "address_2": "BUILDING B, SUITE 110",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-442-5150",
            "fax_number": "585-442-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCI J CHODROFF, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "CHODROFF",
        "authorized_official_first_name": "MARCI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-442-5150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "P010197727",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101558BJ",
            "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 Jan 16, 2009; 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.