Greece Pediatric Medicine, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GREECE PEDIATRIC MEDICINE, PLLC

Practice address

3208 Latta Rd
Rochester, NY 14612-3084

Phone

(585) 504-6504

Fax

(585) 504-4923

NPI assigned

Mar 19, 2021

Last updated

Mar 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Wania, MDNPI 1356583553

Title

Owner

Phone

(585) 504-6504

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Louise Wania, MD

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1356583553
  NPD Authorized official
• Dana Esposito, NP

  • Pediatric Nurse Practitioner
  • Rochester, NY
  • NPI 1922984145
  NPD

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616112000000",
    "number": "1528644705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SACKETS LNDG",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146121482",
            "telephone_number": "585-504-6504",
            "fax_number": "585-504-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 LATTA RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123084",
            "telephone_number": "585-504-6504",
            "fax_number": "585-504-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREECE PEDIATRIC MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-19",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A",
        "authorized_official_last_name": "WANIA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-504-6504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03503766",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Greece Chiropractic PLLC
• Greece Dermatological Associates, PC
• Greece Obstetrics and Gynecology Group LLP
• Greece Oral Surgery, P.C.
• Greece Pediatric Dentistry, LLP
• Allison Kristene Green, LPN
• Amanda Rose Green, PA-C
• Andrew L Green, R.PH.
• Anna Marie Green, LPN
• Candice Green, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.