Active NPI
Jonathan Botier, M.D.
- Surgery Physician
- Rochester, NY
National Provider Identifier
1649541707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- P82626
- Practice address
- 1555 Long Pond Rd
Rochester, NY 14626-4122 - Phone
- (585) 723-7870
- NPI assigned
- Jan 21, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | P82626 | NY | Primary |
Addresses
Primary practice location
1555 Long Pond Rd
Rochester, NY 14626-4122
Mailing address
73 Cathaway Park
Rochester, NY 14610-2907
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jbotier310046@direct.rochesterregional.org | Direct |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P82626 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619740800000",
"number": "1649541707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 CATHAWAY PARK",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146102907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 LONG POND RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146264122",
"telephone_number": "585-723-7870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTIER",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-21",
"last_updated": "2021-04-30",
"certification_date": "2021-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "P82626",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jbotier310046@direct.rochesterregional.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1555 Long Pond Rd",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146264122",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.