PEDIATRIC GROUP UNIV OF ROCHESTER (NPI# 1083271787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083271787 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC GROUP UNIV OF ROCHESTER |
| Practice Address |
601 Elmwood Ave Rochester NY 14642-0001 |
| Mailing Address |
601 Elmwood Ave Box 635 Rochester NY 14642-0001 |
| Practice Telephone | 5852752981 |
| Mailing Telephone | 5857849750 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2019-06-24 |
| Authorized Official Name | JILL M HETTERICH (SENIOR DIRECTOR URMFG) |
| Authorized Official Telephone | 5857564003 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489176 | Pediatric Group Univ of Rochester | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2019-04-01 |
| 1821029463 | Pediatric Group Univ of Rochester | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-07-05 |
| Street Address |
601 ELMWOOD AVE |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14642-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324317 | Marc Norman Berliant | Internal Medicine | 601 Elmwood Ave, Box Med, Rochester, NY 14642-0001 | 2005-05-23 |
| 1386245165 | Stephanie Pilat | Pharmacist | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-06 |
| 1396346276 | Noah Ritzel | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1811598790 | Natalie Tanke | Registered Nurse | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-11-05 |
| 1891394490 | Muhamed Ahmic | Nurse Anesthetist, Certified Registered | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-23 |
| 1619576543 | Patricia Marie Reiber | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-21 |
| 1528667557 | Alexandra Jessie Strutt | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-21 |
| 1750989323 | Sarah Jones | Physician Assistant | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
| 1679171334 | Audrey Linn Schroeder | Genetic Counselor, MS | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2020-10-15 |
| 1013515568 | Carla Katherine Muranyi | Nurse Practitioner | 601 Elmwood Ave, Rochester, NY 14642-0002 | 2020-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192363 | Nicholas Campbell Love | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5, General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-13 |
| 1750900650 | Phillip Braun | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave, Ac-5 General Medicine Clinic 696, Rochester, NY 14642 | 2020-04-10 |
| 1437786993 | Andrew Jeong | Student in an Organized Health Care Education/Training Program | Department of Orthopaedics and Rehabilitation, 601 Elmwood Avenue, Rochester, NY 14642 | 2020-03-25 |
| 1497227094 | Alison Kent | Pediatrics | Dept of Pediatrics, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642 | 2018-12-20 |
| 1326539909 | Saumya Goel Aujla | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 664, Rochester, NY 14642 | 2018-05-19 |
| 1922505387 | Daniel Bral | Student in an Organized Health Care Education/Training Program | 601 Elmwood Ave # 655, Rochester, NY 14642 | 2018-04-11 |
| 1194222513 | Jonah Meyerhoff | Student in an Organized Health Care Education/Training Program | 300 Crittenden Blvd Department of Psychiatry, Rochester, NY 14642 | 2018-04-11 |
| 1144738949 | Francis Michael Manzo | Registered Nurse | University of Rochester 601 Elmwood Ave Box Surg, Rochester, NY 14642 | 2018-01-15 |
| 1225552649 | George Norman Abraham | Internal Medicine | 600 Elmwood Avenue, University of Rochester, Rochester, NY 14642 | 2017-07-27 |
| 1861928301 | Sonia Thakur | Student in an Organized Health Care Education/Training Program | 601 Elmwood University of Rochester Medical Center, Department of Physicial Medicine and Rehabilitation, Rochester, NY 14642 | 2017-05-03 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730567074 | Melissa Azul | Pediatrics | 200 1st St Sw, Rochester, MN 55905-7232 | 2015-05-06 |
| 1447666177 | Paulina Horvei | Pediatrics | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-07-02 |
| 1033485487 | Carol Fries Simpson | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2012-03-30 |
| 1962724872 | Razia Bibi Akhtar | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2010-02-18 |
| 1639333149 | Jeffrey Robert Andolina | Pediatrics | 601 Elmwood Ave Box 777, Rochester, NY 14642-0001 | 2008-07-14 |
| 1821250291 | Lisa R Hackney | Pediatrics | 601 Elmwood Ave, Box 777, Rochester, NY 14642-0001 | 2008-06-27 |
| 1417001165 | Suzie A Noronha | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2007-01-22 |
| 1265449581 | Jessica C Shand | Pediatrics | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2006-08-01 |
| 1053346841 | Lauren B Bruckner | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-07-11 |
| 1932134723 | Norma Lerner | Pediatrics | 601 Elmwood Ave, Box 635, Rochester, NY 14642-0001 | 2006-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.