Active NPI
Emilia Maria Nymander, DO
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1972893063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 280328
- Practice address
- 900 Elmgrove Rd
Genesis Pediatrics, LLC
Rochester, NY 14624-6236 - Phone
- (585) 426-4100
- Fax
- (585) 426-3701
- NPI assigned
- Apr 11, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 280328 | NY | Primary |
Addresses
Primary practice location
900 Elmgrove Rd
Genesis Pediatrics, LLC
Rochester, NY 14624-6236
Mailing address
900 Elmgrove Rd
Genesis Pediatrics, LLC
Rochester, NY 14624-6236
Phone (585) 426-4100
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 280328 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmwood Pediatric Group, LLP | Pediatrics | Past | Accepting new patients |
| Genesis Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Rochester General Hospital | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Rochester, NY
- NPI 1497840391
-
- Pediatrics Physician
- Rochester, NY
- NPI 1306943527
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1972893063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ELMGROVE RD",
"address_2": "GENESIS PEDIATRICS, LLC",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146246236",
"telephone_number": "585-426-4100",
"fax_number": "585-426-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ELMGROVE RD",
"address_2": "GENESIS PEDIATRICS, LLC",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146246236",
"telephone_number": "585-426-4100",
"fax_number": "585-426-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NYMANDER",
"first_name": "EMILIA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "280328",
"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 Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.