Organization Active NPI

Alicia W Hermogenes MD PC

  • Specialist
  • Cheektowaga, NY
National Provider Identifier
1659524270
Registry record updated Aug 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ALICIA W HERMOGENES MD PC
Doing business as
Alicia W Hermogenes MD PC
Practice address
2925 Genesee St
Cheektowaga, NY 14225-3103
Phone
(716) 894-5071
Fax
(716) 894-5072
NPI assigned
Oct 28, 2008
Last updated
Aug 12, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2014

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

Authorized official

Name
Mrs. Alicia W Hermogenes, MDNPI 1801827035
Title
Physician
Phone
(716) 894-5071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary
Specialist 174400000X 195934 NY

Addresses

Primary practice location

2925 Genesee St
Cheektowaga, NY 14225-3103

Mailing address

PO Box 173
Williamsville, NY 14231-0173
Phone (716) 894-5071

Other names 1

  • ALICIA W HERMOGENES MD PC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1090790Alicia W Hermogenes MD PC2925 Genesee Street, Cheektowaga, NY 14225Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1659524270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142310173",
            "telephone_number": "716-894-5071",
            "fax_number": "716-894-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253103",
            "telephone_number": "716-894-5071",
            "fax_number": "716-894-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICIA W HERMOGENES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "HERMOGENES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-894-5071",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "195934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALICIA W HERMOGENES MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cheektowaga, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.