Individual provider Active NPI

Regina Rodrigues-Garvin, MD

  • Internal Medicine Physician
  • Rochester, NY
National Provider Identifier
1881660439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
119347 Issued in NY
Practice address
220 Alexander St
Suite 703
Rochester, NY 14607-4008
Phone
(585) 922-8004
Fax
(585) 922-8195
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 119347 NY Primary

Addresses

Primary practice location

220 Alexander St
Suite 703
Rochester, NY 14607-4008

Mailing address

220 Alexander St
Suite 703
Rochester, NY 14607-4008
Phone (585) 922-8004

Other identifiers 2

IdentifierTypeStateIssuer
00469989MedicaidNY
P00032918OtherNYRAILROAD MEDICARE

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
119347NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881660439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ALEXANDER ST",
            "address_2": "SUITE 703",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074008",
            "telephone_number": "585-922-8004",
            "fax_number": "585-922-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ALEXANDER ST",
            "address_2": "SUITE 703",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146074008",
            "telephone_number": "585-922-8004",
            "fax_number": "585-922-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUES-GARVIN",
        "first_name": "REGINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "119347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00469989",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00032918",
            "state": "NY"
        }
    ],
    "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 Jul 8, 2007; 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.