Organization Active NPI

Loyola Medical Associates

  • Addiction Medicine (Family Medicine) Physician
  • Pittsford, NY
National Provider Identifier
1770732984
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
114313 Issued in NY
Legal business name
LOYOLA MEDICAL ASSOCIATES
Practice address
1160 Pittsford Victor Rd Ste G
Pittsford, NY 14534-3825
Phone
(585) 203-1005
Fax
(585) 203-1013
NPI assigned
Sep 11, 2008
Last updated
Nov 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Deborah L Partridge
Title
Vice President Administration
Phone
(585) 451-8011

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 114313 NY Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 099098 NY
Psychiatry Physician 2084P0800X 222626 NY

Addresses

Primary practice location

1160 Pittsford Victor Rd Ste G
Pittsford, NY 14534-3825

Mailing address

1160 Pittsford Victor Rd Ste G
Pittsford, NY 14534-3825
Phone (585) 203-1005

National Provider Directory

National Provider Directory

Locations

1160 Pittsford Victor Rd
Ste G
Pittsford, NY 14534
Phone (585) 203-1005

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1770732984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 PITTSFORD VICTOR RD STE G",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343825",
            "telephone_number": "585-203-1005",
            "fax_number": "585-203-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 PITTSFORD VICTOR RD STE G",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343825",
            "telephone_number": "585-203-1005",
            "fax_number": "585-203-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYOLA MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "PARTRIDGE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT ADMINISTRATION",
        "authorized_official_telephone_number": "585-451-8011"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "114313",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "099098",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "222626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.