Individual provider Active NPI

Cheryl A Newman, M.D.

  • Family Medicine Physician
  • Penfield, NY
National Provider Identifier
1902987837
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
242361 Issued in NY
Practice address
2550 Baird Rd
Penfield, NY 14526-2331
Phone
(585) 395-1111
Fax
(585) 395-1116
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 242361 NY Primary

Addresses

Primary practice location

2550 Baird Rd
Penfield, NY 14526-2331

Mailing address

2550 Baird Rd
Penfield, NY 14526-2331
Phone (585) 395-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242361NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Family Medicine, PC Family Medicine CurrentSince Sep 5, 2010 Accepting new patients
Internal Medicine at Lakeside Past Accepting new patients

Locations

156 West Ave
Brockport, NY 14420
Phone (585) 395-6095

Interoperability endpoints

  • Direct secure messaging: newman@medicalservices.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1902987837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BAIRD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262331",
            "telephone_number": "585-395-1111",
            "fax_number": "585-395-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BAIRD RD",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262331",
            "telephone_number": "585-395-1111",
            "fax_number": "585-395-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "CHERYL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "242361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

Verify at the official NPI Registry.