Organization Active NPI

Internal Medicine Associates of Webster,P.C.

  • Internal Medicine Physician
  • Webster, NY
National Provider Identifier
1881795334
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
159600 Issued in NY
Legal business name
INTERNAL MEDICINE ASSOCIATES OF WEBSTER,P.C.
Practice address
1130 Crosspointe LN
Suite # 3
Webster, NY 14580-2986
Phone
(585) 265-0800
Fax
(585) 861-6460
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Mrs. Deborah L Desantis
Title
Office Manager
Phone
(585) 265-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 159600 NY Primary

Addresses

Primary practice location

1130 Crosspointe LN
Suite # 3
Webster, NY 14580-2986

Mailing address

1130 Crosspointe LN
Suite # 3
Webster, NY 14580-2986
Phone (585) 265-0800

National Provider Directory

National Provider Directory

Locations

1130 Crosspointe Ln
Ste 3
Webster, NY 14580
Phone (585) 265-0800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1881795334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CROSSPOINTE LN",
            "address_2": "SUITE # 3",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802986",
            "telephone_number": "585-265-0800",
            "fax_number": "585-861-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CROSSPOINTE LN",
            "address_2": "SUITE # 3",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145802986",
            "telephone_number": "585-265-0800",
            "fax_number": "585-861-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE ASSOCIATES OF WEBSTER,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "DESANTIS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-265-0800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "159600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.