Active NPI
JLC Medical Practice PLLC
- Family Medicine Physician
- Rome, NY
National Provider Identifier
1831918580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JLC MEDICAL PRACTICE PLLC
- Practice address
- 91 Perimeter Rd Ste 100
Rome, NY 13441-4018 - Phone
- (315) 356-5060
- Fax
- (315) 630-6013
- NPI assigned
- Oct 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Lavesa-Cesana, MD
- Title
- Owner
- Phone
- (315) 356-5060
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
91 Perimeter Rd Ste 100
Rome, NY 13441-4018
Mailing address
91 Perimeter Rd Ste 100
Rome, NY 13441-4018
Phone (315) 356-5060
Other names 1
- JLC Medical Practice PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- JLC Medical Practice PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health & General Preventive Medicine Physician
- Rome, NY
- NPI 1083571285
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Rome, NY
- NPI 1770886889
-
- Health Educator
- Rome, NY
- NPI 1033052055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728432000000",
"number": "1831918580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 PERIMETER RD STE 100",
"city": "ROME",
"state": "NY",
"postal_code": "134414018",
"telephone_number": "315-356-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91 PERIMETER RD STE 100",
"city": "ROME",
"state": "NY",
"postal_code": "134414018",
"telephone_number": "315-356-5060",
"fax_number": "315-630-6013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JLC MEDICAL PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-09",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A",
"authorized_official_last_name": "LAVESA-CESANA",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-356-5060",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JLC Medical Practice PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rome, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.