Organization Active NPI

Derden LLC

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1811262082
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
177398 Issued in NY
Legal business name
DERDEN LLC
Practice address
3000 Mount Read Blvd
Rochester, NY 14616-4843
Phone
(585) 865-3223
Fax
(585) 621-4128
NPI assigned
Mar 20, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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

Authorized official

Name
Dr. Deniz M Pirincci, M.D.NPI 1922068915
Title
MD/Owner
Phone
(585) 768-4670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 177398 NY Primary

Addresses

Primary practice location

3000 Mount Read Blvd
Rochester, NY 14616-4843

Mailing address

388 Garden Dr
Batavia, NY 14020-1767
Phone (585) 768-4670

Other identifiers 1

IdentifierTypeStateIssuer
01124276MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332201600000",
    "number": "1811262082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 GARDEN DR",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201767",
            "telephone_number": "585-768-4670",
            "fax_number": "585-768-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 MOUNT READ BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164843",
            "telephone_number": "585-865-3223",
            "fax_number": "585-621-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2012-03-20",
        "status": "A",
        "authorized_official_last_name": "PIRINCCI",
        "authorized_official_first_name": "DENIZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "585-768-4670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01124276",
            "state": "NY"
        }
    ],
    "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, 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.