Active NPI
Shivender K. Thakur Physician PC
- Primary Care Clinic/Center
- Rochester, NY
National Provider Identifier
1659538767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 192844
- Legal business name
- SHIVENDER K. THAKUR PHYSICIAN PC
- Practice address
- 890 Westfall Rd
Rochester, NY 14618-2610 - Phone
- (585) 442-6960
- Fax
- (585) 442-3548
- NPI assigned
- May 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shivender Kumar Thakur, M.D.
- Title
- Director
- Phone
- (585) 442-6960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 192844 | NY | Primary |
Addresses
Primary practice location
890 Westfall Rd
Rochester, NY 14618-2610
Mailing address
890 Westfall Rd
Rochester, NY 14618-2610
Phone (585) 442-6960
National Provider Directory
National Provider DirectoryLocations
890 Westfall Rd
Rochester, NY 14618
Phone (585) 442-6960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211068800000",
"number": "1659538767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 WESTFALL RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182610",
"telephone_number": "585-442-6960",
"fax_number": "585-442-3548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 WESTFALL RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146182610",
"telephone_number": "585-442-6960",
"fax_number": "585-442-3548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIVENDER K. THAKUR PHYSICIAN PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-18",
"last_updated": "2008-05-18",
"status": "A",
"authorized_official_last_name": "THAKUR",
"authorized_official_first_name": "SHIVENDER",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "585-442-6960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NY",
"license": "192844",
"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 May 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.