Organization Active NPI

Parkway Pediatrics & Adolescent Medicine

  • Pediatric Adolescent Medicine Physician
  • Rochester, NY
National Provider Identifier
1992749733
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
PARKWAY PEDIATRICS & ADOLESCENT MEDICINE
Practice address
353 Island Cottage Rd
Rochester, NY 14612-2349
Phone
(585) 225-2610
Fax
(585) 581-1396
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Gretchen Smith Burke, M.D.
Title
Owner, Physician
Phone
(585) 225-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X Primary

Addresses

Primary practice location

353 Island Cottage Rd
Rochester, NY 14612-2349

Mailing address

353 Island Cottage Rd
Rochester, NY 14612-2349
Phone (585) 225-2610

National Provider Directory

National Provider Directory

Locations

353 Island Cottage Rd
Rochester, NY 14612
Phone (585) 225-2610

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1992749733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 ISLAND COTTAGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122349",
            "telephone_number": "585-225-2610",
            "fax_number": "585-581-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 ISLAND COTTAGE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146122349",
            "telephone_number": "585-225-2610",
            "fax_number": "585-581-1396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY PEDIATRICS & ADOLESCENT MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "585-225-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "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 Oct 13, 2010; 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.