Active NPI
Loyola Medical Associates
- Addiction Medicine (Family Medicine) Physician
- Pittsford, NY
National Provider Identifier
1770732984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 114313
- 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, 2008
- 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
- Deborah L Partridge
- Title
- Vice President Administration
- Phone
- (585) 451-8011
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.