Individual provider Active NPI

James Michael Inzerillo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Geneva, NY
National Provider Identifier
1477708683
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
253084 Issued in NY
Practice address
821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061
Phone
(315) 325-4422
Fax
(315) 325-4373
NPI assigned
Dec 2, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 253084 NY Primary

Addresses

Primary practice location

821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061

Mailing address

821 Pre Emption Rd
Suite 200
Geneva, NY 14456-2061
Phone (315) 325-4422

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

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1477708683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "315-325-4422",
            "fax_number": "315-325-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 PRE EMPTION RD",
            "address_2": "SUITE 200",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562061",
            "telephone_number": "315-325-4422",
            "fax_number": "315-325-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INZERILLO",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "253084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.