Individual provider Active NPI

Edward Joseph Zgleszewski, M.D.

  • Family Medicine Physician
  • Geneva, NY
National Provider Identifier
1720092778
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
254941 Issued in NY
Practice address
200 North St Ste 101
Geneva, NY 14456-1561
Phone
(315) 787-5200
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 254941 NY Primary

Addresses

Primary practice location

200 North St Ste 101
Geneva, NY 14456-1561

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

601B W Washington St
Geneva, NY 14456-2119
Phone (315) 781-8448

Other practice location 2

7150 Main St
Ovid, NY 14521-9401
Phone (607) 403-0065

Other identifiers 1

IdentifierTypeStateIssuer
34170154302OtherOHBUREAU OF WORKERS COMPENS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091106000248 NY Practitioner - Family Practice 0941302228 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 N St
Geneva, NY 14456-1561
Phone (315) 787-5108

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
254941NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C CurrentSince Feb 21, 2025 Accepting new patients
Finger Lakes Community Health Family Medicine CurrentSince Jul 25, 2023 Accepting new patients
Western New York Medical Practice P.C. Family Medicine CurrentSince Feb 21, 2025 Accepting new patients
Finger Lakes Community Health CurrentSince Jul 25, 2023 Accepting new patients
Finger Lakes Community Health Family Medicine Current Accepting new patients
Fisher-Titus Medical Care LLC Family Medicine Past Accepting new patients
Family Health Partners, Inc. Family Medicine Past Accepting new patients

Locations

196 North St
Geneva, NY 14456
Phone (315) 787-4156

601B W Washington St
Geneva, NY 14456
Phone (315) 781-8448

200 North St
Geneva, NY 14456
Phone (315) 787-5100

833 Canandaigua Rd
Geneva, NY 14456
Phone (315) 210-1331

200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100

7150 Main St
Ovid, NY 14521
Phone (607) 403-0065

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: ezgleszewski403058@direct.rochesterregional.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1720092778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 101",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601B W Washington St",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562119",
            "country_code": "US",
            "telephone_number": "315-781-8448",
            "fax_number": "157-818-4443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7150 Main St",
            "address_purpose": "LOCATION",
            "city": "Ovid",
            "state": "NY",
            "postal_code": "145219401",
            "country_code": "US",
            "telephone_number": "607-403-0065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZGLESZEWSKI",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "254941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMPENS",
            "identifier": "34170154302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.