Organization Active NPI

Genesee Valley Pain Management LLC

  • Pain Medicine (Anesthesiology) Physician
  • Rochester, NY
National Provider Identifier
1487889804
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
130235 Issued in NJ
Legal business name
GENESEE VALLEY PAIN MANAGEMENT LLC
Practice address
2050 S Clinton Ave
Rochester, NY 14618-5727
Phone
(585) 271-4280
Fax
(585) 271-4311
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Dr. Naseer A Tahir, M.D.NPI 1225005366
Title
Owner
Phone
(585) 271-4280

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 130235 NJ Primary

Addresses

Primary practice location

2050 S Clinton Ave
Rochester, NY 14618-5727

Mailing address

2050 South Clinton Avenue
Rochester, NY 14618
Phone (585) 271-4280

Other identifiers 2

IdentifierTypeStateIssuer
G0185496590OtherNYBLUE CHOICE
100772AHOtherNYPREFERRED CARE

National Provider Directory

National Provider Directory

Locations

2050 S Clinton Ave
Rochester, NY 14618
Phone (585) 262-2110

Practitioners & affiliated clinicians

Practitioners 1

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": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1487889804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 SOUTH CLINTON AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-271-4280",
            "fax_number": "585-271-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146185727",
            "telephone_number": "585-271-4280",
            "fax_number": "585-271-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE VALLEY PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "NASEER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-271-4280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "130235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "G0185496590",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "100772AH",
            "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 Dec 18, 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.