Active NPI
Deborah Coniglio, FNP
- Family Nurse Practitioner
- Avon, NY
National Provider Identifier
1700816295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 332215
- Practice address
- 2150 Pole Bridge Rd
Avon, NY 14414-9670 - Phone
- (585) 226-6247
- NPI assigned
- Jul 3, 2006
- Last updated
- Apr 5, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 332215 | NY | Primary |
Addresses
Primary practice location
2150 Pole Bridge Rd
Avon, NY 14414-9670
Mailing address
2150 Pole Bridge Rd
Avon, NY 14414-9670
Phone (585) 226-6247
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F332215 | Other | NY | LICENSE |
| 02506738 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332215 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Hospital of Rochester | Past | Accepting new patients | |
| Highland Hospital of Rochester | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Highland Hospital Outpatient Pharmacy
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1962725739
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1972548568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1700816295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 POLE BRIDGE RD",
"city": "AVON",
"state": "NY",
"postal_code": "144149670",
"telephone_number": "585-226-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 POLE BRIDGE RD",
"city": "AVON",
"state": "NY",
"postal_code": "144149670",
"telephone_number": "585-226-6247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONIGLIO",
"first_name": "DEBORAH",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "332215",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "F332215",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02506738",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Avon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.