Individual provider Active NPI

Alexandria Harmon, MD

  • Pediatrics Physician
  • Victor, NY
National Provider Identifier
1992061667
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
278431-1 Issued in NY
Practice address
1669 Pittsford Victor Rd Ste 100
Victor, NY 14564-9618
Phone
(585) 276-7500
Fax
(585) 218-0520
NPI assigned
Apr 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 278431 NY
Pediatrics Physician 208000000X 278431-1 NY Primary

Addresses

Primary practice location

1669 Pittsford Victor Rd Ste 100
Victor, NY 14564-9618

Mailing address

1669 Pittsford Victor Rd Ste 100
Victor, NY 14564-9618
Phone (585) 276-7500

Other identifiers 1

IdentifierTypeStateIssuer
04181339MedicaidNY

Other names 1

  • Alexandria Andricopoulos Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aandricopoulos82469@direct.urmc.rochester.edu Direct
Direct Messaging Address aandricopoulos82469@direct.urmc.rochester.edu Direct

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
I20150713002465 NY Practitioner - Pediatric Medicine 4284947714 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
278431NYMDPediatrics Physician
278431-1NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Rochester CurrentSince Sep 17, 2018 Accepting new patients
University of Rochester CurrentSince Sep 17, 2018 Accepting new patients
Strong Medical Group Pediatrics CurrentSince Jul 1, 2015 Accepting new patients
University of Rochester Past Accepting new patients

Locations

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

1669 Pittsford Victor Rd
Ste 100
Victor, NY 14564
Phone (585) 276-7500

Interoperability endpoints

  • Direct secure messaging: aandricopoulos82469@direct.urmc.rochester.edu

Organizations & group practices 4

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": "1333756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1992061667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 PITTSFORD VICTOR RD STE 100",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649618",
            "telephone_number": "585-276-7500",
            "fax_number": "585-218-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 PITTSFORD VICTOR RD STE 100",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649618",
            "telephone_number": "585-276-7500",
            "fax_number": "585-218-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "ALEXANDRIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-07",
        "last_updated": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "278431",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "278431-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04181339",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aandricopoulos82469@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aandricopoulos82469@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALEXANDRIA",
            "last_name": "ANDRICOPOULOS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.