NPIMap

Organization Active NPI

Spencerport Schools

  • Licensed Practical Nurse
  • Spencerport, NY
National Provider Identifier
1790058162
Registry record updated Feb 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
231927-1 Issued in NY
Legal business name
SPENCERPORT SCHOOLS
Practice address
2749 Spencerport Rd
Spencerport, NY 14559-1942
Phone
(585) 349-5352
Fax
(585) 349-5386
NPI assigned
Feb 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2012

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

Authorized official

Name
Cynthia Devore I, MD
Title
Doctor
Phone
(585) 349-5352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 231927-1 NY Primary

Addresses

Primary practice location

2749 Spencerport Rd
Spencerport, NY 14559-1942

Mailing address

2749 Spencerport Rd
Spencerport, NY 14559-1942
Phone (585) 349-5352

National Provider Directory

National Provider Directory

Locations

2749 Spencerport Rd
Spencerport, NY 14559
Phone (585) 349-5351

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1790058162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 SPENCERPORT RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591942",
            "telephone_number": "585-349-5352",
            "fax_number": "585-349-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 SPENCERPORT RD",
            "city": "SPENCERPORT",
            "state": "NY",
            "postal_code": "145591942",
            "telephone_number": "585-349-5352",
            "fax_number": "585-349-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCERPORT SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "DEVORE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "585-349-5352",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "231927-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spencerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; 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.