Robert Nicoletta MD Southern Tier Sports Medicine PLLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

221144 Issued in NY

Legal business name

ROBERT NICOLETTA MD SOUTHERN TIER SPORTS MEDICINE PLLC

Practice address

61 Main St
Ste 5
Geneseo, NY 14454-1255

Phone

(585) 243-7620

Fax

(585) 243-1132

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Nicoletta, MD

Title

Sole Owner

Phone

(585) 243-7620

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Charles Mark Livingston, PA

  • Surgical Physician Assistant
  • Geneseo, NY
  • NPI 1174625537
  NPD (past)
• Steven J Posnick, M.D.

  • Orthopaedic Surgery Physician
  • Rochester, NY
  • NPI 1639117914
  NPD (past)
• Kenneth Veenema, MD

  • Sports Medicine (Emergency Medicine) Physician
  • Wheaton, MD
  • NPI 1356369383
  NPD (past)

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247011200000",
    "number": "1639316664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "address_2": "STE 5",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541255",
            "telephone_number": "585-243-7620",
            "fax_number": "585-243-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST",
            "address_2": "STE 5",
            "city": "GENESEO",
            "state": "NY",
            "postal_code": "144541255",
            "telephone_number": "585-243-7620",
            "fax_number": "585-243-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT NICOLETTA MD SOUTHERN TIER SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-07-08",
        "status": "A",
        "authorized_official_last_name": "NICOLETTA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "585-243-7620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "221144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Reifenrath, RPA-C
• Daria A Reilly, COTA/L
• Sherrie Anne Reilly, PT
• Sarah Emily Ripstein, PHARMD
• Jeannette Rivera-Cosme
• Mark Douglas Roberts, PT
• Rochester General Hospital
• Rochester Implantology PLLC
• Dean D Romanick, M.D.
• Lauren Suzanne Rosella, DDS

• Orthopaedic Surgery Physician in Geneseo, NY
• Providers in Geneseo, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.