Individual provider Active NPI

Jorge L Falero, MD

  • Psychiatry Physician
  • Whitesboro, NY
National Provider Identifier
1760580559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1696401 Issued in NY
Practice address
214 Oriskany Blvd Ste 9-a
Whitesboro, NY 13492-1534
Phone
(315) 525-2412
Fax
(315) 768-2727
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1696401 NY Primary

Addresses

Primary practice location

214 Oriskany Blvd Ste 9-a
Whitesboro, NY 13492-1534

Mailing address

214 Oriskany Blvd Ste 9-a
Whitesboro, NY 13492-1534
Phone (315) 525-2412

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1696401NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Human Technologies Past Accepting new patients
Human Technologies 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760580559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 ORISKANY BLVD STE 9-A",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921534",
            "telephone_number": "315-525-2412",
            "fax_number": "315-768-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 ORISKANY BLVD STE 9-A",
            "city": "WHITESBORO",
            "state": "NY",
            "postal_code": "134921534",
            "telephone_number": "315-525-2412",
            "fax_number": "315-768-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALERO",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1696401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitesboro, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.