Active NPI
Elizabeth Inclima
- Specialist
- Rochester, NY
National Provider Identifier
1790179471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 793580131
- Practice address
- 27 Hale Circle
Rochester, NY 14612 - Phone
- (585) 301-1943
- NPI assigned
- Mar 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 793580131 | NY | Primary |
Addresses
Primary practice location
27 Hale Circle
Rochester, NY 14612
Mailing address
27 Hale Cir
Rochester, NY 14612-2377
Phone (585) 301-1943
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 793580131 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426809600000",
"number": "1790179471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 HALE CIR",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146122377",
"telephone_number": "585-301-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 HALE CIRCLE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14612",
"telephone_number": "585-301-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INCLIMA",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-20",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "793580131",
"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 Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.