Active NPI
Danielle Harmon Privitera, MD
- Pediatrics Physician
- Fairport, NY
National Provider Identifier
1851533053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 269422
- Practice address
- 650 Whitney Rd W Ste P
Fairport, NY 14450-1075 - Phone
- (585) 678-4311
- NPI assigned
- Apr 2, 2009
- Sex
- Female
- 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 | 269422 | NY | Primary |
Addresses
Primary practice location
650 Whitney Rd W Ste P
Fairport, NY 14450-1075
Mailing address
650 Whitney Rd W Ste P
Fairport, NY 14450-1075
Phone (585) 678-4311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1238630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1851533053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 WHITNEY RD W STE P",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501075",
"telephone_number": "585-678-4311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 WHITNEY RD W STE P",
"city": "FAIRPORT",
"state": "NY",
"postal_code": "144501075",
"telephone_number": "585-678-4311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIVITERA",
"first_name": "DANIELLE",
"middle_name": "HARMON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-02",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "269422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.