Pediatric Group Univ of Rochester

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRIC GROUP UNIV OF ROCHESTER

Practice address

601 Elmwood Ave
Box 635
Rochester, NY 14642-0001

Phone

(585) 275-7787

NPI assigned

Jul 5, 2006

Last updated

Jan 24, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Pediatric Group Univ of Rochester

  • Pediatric Hematology & Oncology Physician
  • Rochester, NY
  • NPI 1083271787

  O20040331001273

  Same enrollment
• Pediatric Group Univ of Rochester

  dba Pediatric Palliative Care

  • Pediatric Hospice and Palliative Medicine Physician
  • Rochester, NY
  • NPI 1114489176

  O20040331001273

  Same enrollment

Locations

Practitioners 121

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.

• Diana Lynn Andolina, PNP

  • Pediatric Nurse Practitioner
  • Rochester, NY
  • NPI 1174090716
  Medicare reassignment NPD
• Jeffrey Robert Andolina, M.D.

  • Pediatric Hematology & Oncology Physician
  • Rochester, NY
  • NPI 1639333149
  Medicare reassignment NPD
• Cindy A Annechino, NP

  • Pediatric Nurse Practitioner
  • Rochester, NY
  • NPI 1306030234
  Medicare reassignment NPD
• Meghan Anthony

  • Pediatric Nurse Practitioner
  • Syracuse, NY
  • NPI 1730758087
  Medicare reassignment NPD
• Christiana Rose Anvelt, NP

  • Pediatric Nurse Practitioner
  • Rochester, NY
  • NPI 1366177511
  Medicare reassignment NPD
• Norah Arnold, NP

  • Nurse Practitioner
  • Rochester, NY
  • NPI 1992525273
  Medicare reassignment NPD
• Jennifer Kathleen Baxter, MD

  • Pediatrics Physician
  • Victor, NY
  • NPI 1255996021
  Medicare reassignment NPD
• Nathaniel D Bayer, M.D.

  • Hospitalist Physician
  • Rochester, NY
  • NPI 1508246265

  Pediatrics

  Medicare reassignment NPD
• Grace Elizabeth Black, MD

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1922395466
  Medicare reassignment NPD
• Adam Bracken, MD

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1174902415

  Pediatrics

  Medicare reassignment NPD
• Hollie Elizabeth Campbell, NP

  • Pediatric Nurse Practitioner
  • Rochester, NY
  • NPI 1659868487
  Medicare reassignment NPD
• Jahaira Carolina Capellan, FNP-BC

  • Family Nurse Practitioner
  • Rochester, NY
  • NPI 1689927790
  Medicare reassignment NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1821029463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 635",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "address_2": "BOX 635",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC GROUP UNIV OF ROCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2019-01-24",
        "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": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Critical Care Anesthesia
• Pediatric Development Clinic
• Pediatric G I Nutrition
• Pediatric Group Univ of Rochester
• Pediatric Group Univ of Rochester (Pediatric Palliative Care)
• Pediatric Immun-Nephr-Rheumology
• Pediatric Infectious Diseases
• Pediatric Medical Supply, Inc. (NebDocs)
• Pediatric Metabolism Endercrenology
• Pediatric Neonatal

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.