Jefferson Family Medicine

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

143714 Issued in NY

Legal business name

JEFFERSON FAMILY MEDICINE

Practice address

924 Jefferson Ave
Rochester, NY 14611-3702

Phone

(585) 463-3870

Fax

(585) 463-3873

NPI assigned

Feb 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William H Bayer, M.D.

Title

Physician

Phone

(585) 463-3870

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1578732608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 JEFFERSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113702",
            "telephone_number": "585-463-3870",
            "fax_number": "585-463-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 JEFFERSON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146113702",
            "telephone_number": "585-463-3870",
            "fax_number": "585-463-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "BAYER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "585-463-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "143714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01038260",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay M. Jebo, RPA
• Daniel Kamil Jedrysiak, M.D
• Izabela Teresa Jedrysiak, M.D.
• Sandra H Jee, MD
• Gina M Jeffers, PA
• Elizabeth M. Jefferson, P.A.
• Maureen Amie Jefferson, LICENSED PRACTICAL N
• Shawnnel Jewel Jefferson, LPN
• Taimka Jefferson, LPN
• Jeffrey a Liberman DO PC

• Primary Care Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.