Individual provider Active NPI

Edith Jaffe, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1659484210
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211906 Issued in NY
Practice address
2135 Buffalo Rd
Rochester, NY 14624-1507
Phone
(585) 276-7575
Fax
(585) 276-7574
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211906 NY Primary

Addresses

Primary practice location

2135 Buffalo Rd
Rochester, NY 14624-1507

Mailing address

155 Corporate Woods
Suite 100
Rochester, NY 14623-1472
Phone (585) 276-7575

Other identifiers 1

IdentifierTypeStateIssuer
02377824MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001274 NY Practitioner - Internal Medicine 6305820101 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211906NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester Internal Medicine CurrentSince Aug 8, 2013 Accepting new patients
University of Rochester CurrentSince Aug 8, 2013 Accepting new patients

Locations

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

155 Corporate Woods
Ste 100
Rochester, NY 14623
Phone (585) 784-7864

2135 Buffalo Rd
Rochester, NY 14624
Phone (585) 276-7575

601 Elmwood Ave
#320
Rochester, NY 14642

2135 Buffalo Rd
Ste 200C
Rochester, NY 14624

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

Organizations & group practices 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1659484210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CORPORATE WOODS",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231472",
            "telephone_number": "585-276-7575",
            "fax_number": "585-426-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 BUFFALO RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146241507",
            "telephone_number": "585-276-7575",
            "fax_number": "585-276-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAFFE",
        "first_name": "EDITH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.