Dr.Alicia W. Hermogenes

Primary specialty

SpecialistTaxonomy code 174400000X

License

195934 Issued in PA

Legal business name

DR.ALICIA W. HERMOGENES

Practice address

2925 Genesee St
2925 Genesee St
Cheektowaga, NY 14225
UM

Phone

(716) 894-5071

Fax

(716) 894-5072

NPI assigned

Jan 27, 2014

Organization subpart

No

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

Authorized official

Name

Alicia W Hermogenes, M.DNPI 1801827035

Title

Physician

Phone

(716) 894-5071

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia W Hermogenes, MD

  • Infectious Disease Physician
  • Cheektowaga, NY
  • NPI 1801827035
  NPD (past) Authorized official

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1962825976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253103",
            "telephone_number": "716-894-5071",
            "fax_number": "716-894-5072"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "2925 GENESEE ST",
            "address_2": "2925 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "14225",
            "telephone_number": "716-894-5071",
            "fax_number": "716-894-5072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ALICIA W. HERMOGENES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "HERMOGENES",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "716-894-5071",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "195934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03164303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.