Active NPI
Peter H. Block, M.D.
- Surgery Physician
- Rochester, NY
National Provider Identifier
1962432377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 193596
- Practice address
- 1425 Portland Avenue
Rochester, NY 14621-3008 - Phone
- (585) 922-4874
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 193596 | NY | Primary |
Addresses
Primary practice location
1425 Portland Avenue
Rochester, NY 14621-3008
Mailing address
1415 Portland Ave
Suite 245
Rochester, NY 14621-3038
Phone (585) 922-4874
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 |
|---|---|---|---|
| 193596 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1962432377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 PORTLAND AVE",
"address_2": "SUITE 245",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213038",
"telephone_number": "585-922-4874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 PORTLAND AVENUE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146213008",
"telephone_number": "585-922-4874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCK",
"first_name": "PETER",
"middle_name": "H.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "193596",
"primary": true
}
],
"identifiers": [],
"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 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.