Organization Active NPI

Raymond J. Lanzafame, MD, PLLC

  • Surgery Physician
  • Rochester, NY
National Provider Identifier
1679525265
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
RAYMOND J. LANZAFAME, MD, PLLC
Practice address
757 Titus Ave
Rochester, NY 14617-3930
Phone
(585) 266-2150
Fax
(585) 544-8761
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Dr. Raymond J Lanzafame, MD
Title
Owner
Phone
(585) 266-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

757 Titus Ave
Rochester, NY 14617-3930

Mailing address

PO Box 674
Auburn, NY 13021-0674
Phone (315) 283-1353

Other identifiers 1

IdentifierTypeStateIssuer
00787499MedicaidNY

National Provider Directory

National Provider Directory

Locations

757 Titus Ave
Rochester, NY 14617
Phone (585) 266-2150

1445 Portland Ave
Ste 202
Rochester, NY 14621
Phone (585) 922-5600

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1679525265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130210674",
            "telephone_number": "315-283-1353",
            "fax_number": "888-315-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 TITUS AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146173930",
            "telephone_number": "585-266-2150",
            "fax_number": "585-544-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND J. LANZAFAME, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "LANZAFAME",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-266-2150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00787499",
            "state": "NY"
        }
    ],
    "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 Aug 28, 2014; 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.