Pediatric Cardiac Surgery of the University of Rochester

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

Legal business name

PEDIATRIC CARDIAC SURGERY OF THE UNIVERSITY OF ROCHESTER

Practice address

601 Elmwood Ave
Rochester, NY 14642-0001

Phone

(585) 758-7671

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Jill M Hetterich

Title

Senior Director of Finance Urmfg

Phone

(585) 756-4003

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

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

• George Michael Alfieris, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rochester, NY
  • NPI 1962439067
  Medicare reassignment NPD
• Shuichi Yoshitake

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rochester, NY
  • NPI 1538642319

  Pediatric Surgery

  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1811148455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 320",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-758-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIAC SURGERY OF THE UNIVERSITY OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "HETTERICH",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE URMFG",
        "authorized_official_telephone_number": "585-756-4003"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03075894",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ped Physical Disabilities
• Pedersen Dentistry, PLLC
• Todd Richard Pedersen, D.D.S.
• Andrew Steven Pederzolli, M.D.
• Pediatric Allergy of Pulmonary
• Pediatric Cardiology
• Pediatric Critical Care Anesthesia
• Pediatric Development Clinic
• Pediatric G I Nutrition
• Pediatric Group Univ of Rochester

• Pediatric Surgery Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatric Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.