Active NPI
Elizabeth Wende Breast Care LLC
- Diagnostic Radiology Physician
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ELIZABETH WENDE BREAST CARE LLC
- Practice address
- 170 Sawgrass Dr
Rochester, NY 14620-4648 - Phone
- (585) 758-7006
- Fax
- (585) 442-1837
- NPI assigned
- Oct 24, 2007
- Last updated
- Jun 11, 2025
- 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
- Annette Wiebeld
- Title
- Administration
- Phone
- (585) 442-2190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
170 Sawgrass Dr
Rochester, NY 14620-4648
Mailing address
170 Sawgrass Dr
Rochester, NY 14620-4648
Phone (585) 758-7006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D1101618 | Elizabeth Wende Breast Care, LLC | Certificate of waiver | Jun 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
3 Bridge St
Ste 1
Carthage, NY 13619
126 Court St
Geneseo, NY 14454
3 Saredon Pl
Ste 200
Rochester, NY 14606
7375 State Route 96
Victor, NY 14564
7375 State Route 96
Ste 100
Victor, NY 14564
1571 Washington St
Ste 101B
Watertown, NY 13601
55 Barrett Dr
Ste 300
Webster, NY 14580
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Diagnostic Radiology Physician
- Rochester, NY
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- Diagnostic Radiology Physician
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- NPI 1023232741
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- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1801024674
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- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1043278476
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1427380161
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- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1750584553
-
- Diagnostic Radiology Physician
- Rochester, NY
- NPI 1518301787
-
- Diagnostic Radiology Physician
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- NPI 1801853932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1720267982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 SAWGRASS DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204648",
"telephone_number": "585-758-7006",
"fax_number": "585-442-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 SAWGRASS DR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204648",
"telephone_number": "585-758-7006",
"fax_number": "585-442-1837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELIZABETH WENDE BREAST CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "WIEBELD",
"authorized_official_first_name": "ANNETTE",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "585-442-2190"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"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 Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.