Active NPI
Vladimir Gaspar, MD
- Family Medicine Physician
- Rochester, NY
National Provider Identifier
1952313363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 205320
- Practice address
- 601 Elmwood Ave
Box 278980
Rochester, NY 14642-0001 - Phone
- (585) 768-2620
- Fax
- (585) 768-2694
- NPI assigned
- Aug 13, 2006
- Last updated
- Aug 15, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 205320 | NY | Primary |
Addresses
Primary practice location
601 Elmwood Ave
Box 278980
Rochester, NY 14642-0001
Mailing address
8745 Lake Rd
Ste 1
Le Roy, NY 14482-9344
Phone (585) 768-2620
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P040205320 | Other | NY | BCBS ROCHESTER |
| 0110905 | Other | NY | INDEPENDENT HEALTH |
| 102908BF | Other | NY | PREFERRED CARE |
| 01668455 | Medicaid | NY | |
| 000911435008 | Other | NY | BCBS WNY |
| 00020921805 | Other | NY | UNIVERA |
| P010205320 | Other | NY | BLUE CHOICE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205320 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine at Lakeside | Past | Accepting new patients | |
| Star Physical Therapy & Fitness Center LLC | Past | Accepting new patients | |
| General Physician Sub I PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Le Roy, NY
- NPI 1922144328
-
- General Practice Physician
- Medina, NY
- NPI 1699093898
-
- Internal Medicine Physician
- Brockport, NY
- NPI 1083939722
-
- Physical Therapist
- Phoenix, AZ
- NPI 1417981432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1952313363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8745 LAKE RD",
"address_2": "STE 1",
"city": "LE ROY",
"state": "NY",
"postal_code": "144829344",
"telephone_number": "585-768-2620",
"fax_number": "585-768-2694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 ELMWOOD AVE",
"address_2": "BOX 278980",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146420001",
"telephone_number": "585-768-2620",
"fax_number": "585-768-2694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GASPAR",
"first_name": "VLADIMIR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "205320",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ROCHESTER",
"identifier": "P040205320",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "0110905",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102908BF",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01668455",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS WNY",
"identifier": "000911435008",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00020921805",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010205320",
"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 Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.