NPIMap

Organization Active NPI

Portland Physician P.C.

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1821252040
Registry record updated Feb 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
190081 Issued in NY
Legal business name
PORTLAND PHYSICIAN P.C.
Practice address
1299 Portland Ave Ste 7
Rochester, NY 14621-2727
Phone
(585) 467-9790
Fax
(585) 467-9798
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2010

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

Authorized official

Name
Dr. Gula-Rana Masood, M.D.
Title
Owner
Phone
(585) 467-9790

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 190081 NY Primary

Addresses

Primary practice location

1299 Portland Ave Ste 7
Rochester, NY 14621-2727

Mailing address

1299 Portland Ave Ste 7
Rochester, NY 14621-2727
Phone (585) 467-9790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1821252040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE STE 7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212727",
            "telephone_number": "585-467-9790",
            "fax_number": "585-467-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 PORTLAND AVE STE 7",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146212727",
            "telephone_number": "585-467-9790",
            "fax_number": "585-467-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND PHYSICIAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "MASOOD",
        "authorized_official_first_name": "GULA-RANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-467-9790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "190081",
            "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 Feb 26, 2010; 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.