Individual provider Active NPI

Mazen Michael Nayrouz, MBCHB,MSC. PEDS, DCH

  • Student in an Organized Health Care Education/Training Program
  • Rochester, NY
National Provider Identifier
1710125943
Registry record updated Jan 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
PENDING
Practice address
University of Rochester Medical
601 Elmwood Avenue, Box 651
Rochester, NY 14642-0001
Phone
(585) 276-3964
Fax
(585) 461-3614
NPI assigned
Jan 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PENDING Primary

Addresses

Primary practice location

University of Rochester Medical
601 Elmwood Avenue, Box 651
Rochester, NY 14642-0001

Mailing address

University of Rochester Medical
601 Elmwood Avenue, Box 651
Rochester, NY 14642-0001
Phone (585) 276-3964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232928000000",
    "number": "1710125943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF ROCHESTER MEDICAL",
            "address_2": "601 ELMWOOD AVENUE, BOX 651",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-276-3964",
            "fax_number": "585-461-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF ROCHESTER MEDICAL",
            "address_2": "601 ELMWOOD AVENUE, BOX 651",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-276-3964",
            "fax_number": "585-461-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYROUZ",
        "first_name": "MAZEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MBCHB,MSC. PEDS, DCH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "PENDING",
            "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 Jan 26, 2009; 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.