Active NPI
Jenette Helen Dziezynski, AUD
- Audiologist
- Rochester, NY
National Provider Identifier
1497420467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 003041
- Practice address
- 2365 S Clinton Ave Ste 200
Rochester, NY 14618-2663 - Phone
- (585) 758-5700
- NPI assigned
- Aug 12, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 003041 | NY | Primary |
Addresses
Primary practice location
2365 S Clinton Ave Ste 200
Rochester, NY 14618-2663
Mailing address
2365 S Clinton Ave Ste 200
Rochester, NY 14618-2663
Phone (585) 758-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003041 | Other | NY | NYS AUDIOLOGY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003041 | NY | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Acute Care Trauma of the University of Rochester | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Cardiac Surgery of the University of Rochester | Current | Accepting new patients |
Locations
2365 S Clinton Ave
Ste 200
Rochester, NY 14618
Phone (585) 275-0142
601 Elmwood Ave
#684
Rochester, NY 14642
Phone (585) 784-9503
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1851754634
-
- Surgical Critical Care Physician
- Rochester, NY
- NPI 1689023277
-
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
- General Practice Dentistry
- Rochester, NY
- NPI 1982787537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1497420467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2365 S CLINTON AVE STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182663",
"telephone_number": "585-758-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2365 S CLINTON AVE STE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182663",
"telephone_number": "585-758-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZIEZYNSKI",
"first_name": "JENETTE",
"middle_name": "HELEN",
"name_prefix": "Dr.",
"credential": "AUD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "003041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS AUDIOLOGY LICENSE",
"identifier": "003041",
"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 Aug 12, 2021; 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.