Active NPI
Aliana Burgos
- Voluntary or Charitable Agency
- Rochester, NY
National Provider Identifier
1619601382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- License
- 1578640298
- Practice address
- 3300 Dewey Ave
Rochester, NY 14616-3741 - Phone
- (585) 865-1550
- NPI assigned
- Jul 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | 1578640298 | NY | Primary |
Addresses
Primary practice location
3300 Dewey Ave
Rochester, NY 14616-3741
Mailing address
482 Long Acre Rd
Rochester, NY 14621-1112
Phone (585) 414-5540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1578640298 | NY | MD | Voluntary or Charitable Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa of Hope | Voluntary Or Charitable | Current | Accepting new patients |
Locations
3300 Dewey Ave
Rochester, NY 14616
Phone (585) 865-1550
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657411200000",
"number": "1619601382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 LONG ACRE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146211112",
"telephone_number": "585-414-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 DEWEY AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146163741",
"telephone_number": "585-865-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS",
"first_name": "ALIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-10",
"last_updated": "2022-07-10",
"certification_date": "2022-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "251V00000X",
"taxonomy_group": "",
"desc": "Voluntary or Charitable",
"state": "NY",
"license": "1578640298",
"primary": true
}
],
"identifiers": [],
"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 Jul 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.