Jonathan D Broder, MD | |
1425 Portland Ave, Rochester, NY 14621-3001 | |
(585) 922-3220 | |
(585) 922-3518 |
Full Name | Jonathan D Broder |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 29 Years |
Location | 1425 Portland Ave, Rochester, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477522514 | NPI | - | NPPES |
02057129 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 216942 (New York) | Primary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 216942 (New York) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Rochester General Hospital | Rochester, NY | Hospital |
Unity Hospital | Rochester, NY | Hospital |
Newark-wayne Community Hospital | Newark, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Rochester General Hospital | 0244149474 | 892 |
United Memorial Medical Center | 0547259376 | 184 |
Western New York Medical Practice Pc | 3870767791 | 409 |
The Unity Hospital Of Rochester | 9436060969 | 517 |
Entity Name | Rochester General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | The Unity Hospital Of Rochester |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
Entity Name | United Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
Entity Name | Western New York Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
---|---|
Jonathan D Broder, MD 1425 Portland Ave, Rochester, NY 14621-3001 Ph: (585) 922-3220 | Jonathan D Broder, MD 1425 Portland Ave, Rochester, NY 14621-3001 Ph: (585) 922-3220 |
Dr. Scott Ross Schiffman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Box 648, Rochester, NY 14642 Phone: 585-275-1128 Fax: 585-273-3549 | |
Ms. Sarah L Averill, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100 | |
Mr. Jeffrey Caleb Haynes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1425 Portland Avenue, Rochester, NY 14621 Phone: 585-922-4031 Fax: 585-922-2971 | |
Johan Blickman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2734 Fax: 585-273-1033 | |
Dr. Matthew Daniel Diamond, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4000 | |
Dr. Benjamin Ernst Onderdonk, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1425 Portland Ave, Rochester, NY 14621 Phone: 585-922-4031 Fax: 585-922-2971 | |
Bhupinder Hoonjan, Radiology Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2734 |