Active NPI
Raymond Lanzafame, MD
- Surgery Physician
- Rochester, NY
National Provider Identifier
1982667721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 138707
- Practice address
- 757 Titus Ave
Rochester, NY 14617-3930 - Phone
- (585) 266-2150
- Fax
- (585) 544-8761
- NPI assigned
- Apr 11, 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 | 138707 | NY | Primary |
Addresses
Primary practice location
757 Titus Ave
Rochester, NY 14617-3930
Mailing address
757 Titus Ave
Rochester, NY 14617-3930
Phone (585) 266-2150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00787499 | Medicaid | NY |
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 |
|---|---|---|---|
| 138707 | NY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1982667721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "757 TITUS AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146173930",
"telephone_number": "585-266-2150",
"fax_number": "585-544-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 TITUS AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146173930",
"telephone_number": "585-266-2150",
"fax_number": "585-544-8761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZAFAME",
"first_name": "RAYMOND",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "138707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00787499",
"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 Apr 26, 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.