Active NPI
Laurence Irwin Sugarman, MD
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1811932809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 159792
- Practice address
- 103 White Spruce Blvd
Rochester, NY 14623-1610 - Phone
- (585) 292-5830
- Fax
- (585) 429-2584
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 159792 | NY | Primary |
Addresses
Primary practice location
103 White Spruce Blvd
Rochester, NY 14623-1610
Mailing address
103 White Spruce Blvd
Rochester, NY 14623-1610
Phone (585) 292-5830
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101076DL | Other | NY | PREFERRED CARE # PEDS |
| 159792-1W | Other | NY | WORKERS COMP # |
| MDJ303 | Other | NY | PREFERRED CARE # FOR BH |
| P010159792 | Other | NY | BLUE CHOICE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081217000282 | NY | Practitioner - Pediatric Medicine | 8729140215 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224028800000",
"number": "1811932809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 WHITE SPRUCE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231610",
"telephone_number": "585-292-5830",
"fax_number": "585-292-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 WHITE SPRUCE BLVD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146231610",
"telephone_number": "585-292-5830",
"fax_number": "585-429-2584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUGARMAN",
"first_name": "LAURENCE",
"middle_name": "IRWIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2008-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "159792",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE # PEDS",
"identifier": "101076DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP #",
"identifier": "159792-1W",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE # FOR BH",
"identifier": "MDJ303",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE #",
"identifier": "P010159792",
"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 Oct 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.