Digestive Center of Western Nyi

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

196712 Issued in NY

Legal business name

DIGESTIVE CENTER OF WESTERN NYI

Practice address

1415 Portland Ave
Rochester, NY 14621-3038

Phone

(585) 336-5119

Fax

(585) 336-5113

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Jeffrey A Goldstein, MDNPI 1184677957

Title

President

Phone

(585) 336-5119

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey A Goldstein, MD

  • Gastroenterology Physician
  • Orchard Park, NY
  • NPI 1184677957
  NPD (past) Authorized official

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1508195157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213047",
            "telephone_number": "585-336-5119",
            "fax_number": "585-336-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213038",
            "telephone_number": "585-336-5119",
            "fax_number": "585-336-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE CENTER OF WESTERN NYI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-336-5119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "196712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanyc Difiore
• Patrick Diflorio, LMSW
• Kimberly Ann Difrancesca, LPN
• Michele Digennaro
• Terry Daniel Digenti, CASAC LEVEL 2
• Digestive Disease Associates LLP
• Digestive Disease Associates, LLP
• Dashay Diggs, LPN
• Kristine C Digiambattista, SLP
• Jillian Elizabeth Digiovanna, PA

• Gastroenterology Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.