NPIMap

Organization Active NPI

Pittsford Pediatrics Associates

  • Pediatrics Physician
  • Pittsford, NY
National Provider Identifier
1902031982
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PITTSFORD PEDIATRICS ASSOCIATES
Practice address
59 Monroe Ave Ste B
Pittsford, NY 14534-1308
Phone
(585) 385-1710
NPI assigned
May 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Laura Kosmerl
Title
Office Manager
Phone
(585) 385-1710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

59 Monroe Ave Ste B
Pittsford, NY 14534-1308

Mailing address

59 Monroe Ave Ste B
Pittsford, NY 14534-1308

Other identifiers 4

IdentifierTypeStateIssuer
01468648MedicaidNY
01945257MedicaidNY
02586285MedicaidNY
02150190MedicaidNY

National Provider Directory

National Provider Directory

Locations

59B Monroe Ave
Pittsford, NY 14534
Phone (585) 385-1710

Practitioners & affiliated clinicians

Practitioners 5

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": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1902031982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MONROE AVE STE B",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MONROE AVE STE B",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341308",
            "telephone_number": "585-385-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PITTSFORD PEDIATRICS ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "KOSMERL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "585-385-1710"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01468648",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01945257",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02586285",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02150190",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.