| Ridgeview Internal Medicine Group, Llp | |
|
1850 Ridge Rd E Rochester NY 14622-2448 | |
| (585) 342-3870 | |
| (585) 342-7938 |
| Full Name | Ridgeview Internal Medicine Group, Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 1850 Ridge Rd E, Rochester, New York |
| Authorized Official Name and Position | Gina M Smallwood (OFFICE MANAGER) |
| Authorized Official Contact | 5853423870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ridgeview Internal Medicine Group, Llp 1850 Ridge Rd E Rochester NY 14622-2448 Ph: (585) 342-3870 | Ridgeview Internal Medicine Group, Llp 1850 Ridge Rd E Rochester NY 14622-2448 Ph: (585) 342-3870 |
| NPI Number | 1790854974 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4587665294 |
|---|---|
| Medicare Enrollment ID | O20070124000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790854974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | William J Montesano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962510792 PECOS PAC ID: 1254305592 Enrollment ID: I20040823001329 |
| Provider Name | Joseph A Dipoala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639124605 PECOS PAC ID: 6002817715 Enrollment ID: I20110128000702 |
| Provider Name | Robert Caifano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568417533 PECOS PAC ID: 7113928821 Enrollment ID: I20110128000738 |
| Provider Name | Robert C Thomson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144267329 PECOS PAC ID: 2567463276 Enrollment ID: I20110128000784 |
| Provider Name | Nancy G Shedd |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154376432 PECOS PAC ID: 4284635996 Enrollment ID: I20110303000001 |
| Provider Name | Shelly M Kane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528005709 PECOS PAC ID: 8921009630 Enrollment ID: I20110322000045 |
| Provider Name | Jennifer Lynn Benedetto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780312827 PECOS PAC ID: 6800268509 Enrollment ID: I20230206002509 |
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