Individual provider Active NPI

Joseph Kilimnick, M.D.

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1962469387
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
210155-1 Issued in NY
Practice address
39 Goodman St N
Rochester, NY 14607-1501
Phone
(585) 271-2937
Fax
(585) 271-3575
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 210155-1 NY Primary

Addresses

Primary practice location

39 Goodman St N
Rochester, NY 14607-1501

Mailing address

39 Goodman St N
Rochester, NY 14607-1501
Phone (585) 271-2937

Other practice location 1

222 Alexander St Fl 1
Rochester, NY 14607-4039
Phone (585) 922-8230

Other identifiers 3

IdentifierTypeStateIssuer
102957OtherNYPREFERRED CARE
010210155OtherNYBLUE CHOICE
01881025MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250728000631 NY Practitioner - Pediatric Medicine 1850808635 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210155-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital CurrentSince Aug 4, 2025 Accepting new patients
Rochester General Hospital CurrentSince Aug 4, 2025 Accepting new patients
Seaboard Financial Current Accepting new patients
Rochester General Hospital Pediatrics Current Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

222 Alexander St
Rochester, NY 14607
Phone (585) 546-3280

222 Alexander St
Ste 4100
Rochester, NY 14607
Phone (585) 922-8225

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

39 N Goodman St
Rochester, NY 14607
Phone (585) 271-2937

222 Alexander St
Fl 1
Rochester, NY 14607
Phone (585) 922-8230

222 Alexander St
Ste 1000
Rochester, NY 14607
Phone (585) 922-8230

Interoperability endpoints

  • Direct secure messaging: jkilimnick421255@direct.rochesterregional.org

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1962469387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GOODMAN ST N",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071501",
            "telephone_number": "585-271-2937",
            "fax_number": "585-271-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GOODMAN ST N",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146071501",
            "telephone_number": "585-271-2937",
            "fax_number": "585-271-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Alexander St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146074039",
            "country_code": "US",
            "telephone_number": "585-922-8230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILIMNICK",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "210155-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "102957",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "010210155",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01881025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.