Organization Active NPI

University of Rochester Internal Medicine Associates

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1821030529
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UNIVERSITY OF ROCHESTER INTERNAL MEDICINE ASSOCIATES
Practice address
200 White Spruce Blvd
Rochester, NY 14623-1605
Phone
(585) 424-5990
Fax
(585) 424-1013
NPI assigned
Jun 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Martain J. Haibach
Title
Director Finance and Administration
Phone
(585) 273-4607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

200 White Spruce Blvd
Rochester, NY 14623-1605

Mailing address

200 White Spruce Blvd
Rochester, NY 14623-1605
Phone (585) 424-5990

National Provider Directory

National Provider Directory

Locations

200 White Spruce Blvd
Rochester, NY 14623
Phone (585) 292-0040

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821030529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231605",
            "telephone_number": "585-424-5990",
            "fax_number": "585-424-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE SPRUCE BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231605",
            "telephone_number": "585-424-5990",
            "fax_number": "585-424-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ROCHESTER INTERNAL MEDICINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIBACH",
        "authorized_official_first_name": "MARTAIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DIRECTOR FINANCE AND ADMINISTRATION",
        "authorized_official_telephone_number": "585-273-4607"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; 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.