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DR. ANTHONY J FEDULLO M.D.
NPI 1013962091
Internal Medicine - Pulmonary Disease in Rochester, NY

Active since May 24, 2006
1425 PORTLAND AVE, ROCHESTER, NY 14621(585) 922-4409(585) 922-4833 Get Directions Write a Review

NPPES record last updated: November 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anthony J Fedullo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY J FEDULLO M.D. (NPI 1013962091) is an individual pulmonary disease provider in Rochester, New York, licensed in New York (126101) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013962091
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ANTHONY J FEDULLOCredential: M.D.
Location Address1425 PORTLAND AVERochester, NY 14621-3001
Mailing Address1425 Portland Ave, Box 242Rochester, NY 14621-3001 · (585) 922-4409 · Fax (585) 922-4833
Phone(585) 922-4409
Fax(585) 922-4833
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateNovember 11, 2013
✔ NPI 1013962091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 126101
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1425 PORTLAND AVE, Rochester, NY 14621
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN11201ONY
Medicare PINJ400097545NY
Medicaid00469365NY
Medicare PIN70005ANY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NIAZ AHMED D.D.S.
Dentist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4000
DR. BRIAN JOHN THOMAS D.O.
Anesthesiology
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4159
LISA NICOLE FRONCZAK PA-C
Physician Assistant
1425 PORTLAND AVE, BOX 362
ROCHESTER, NY 14621
Monroe County (585) 922-4000
ANDREW ROTANDO DO
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3469
ALEXANDER VAZZANO MD
Emergency Medicine
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4638
AMY BODROG MD
Internal Medicine (Hematology)
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4020
NUMRA ASLAM BAJWA MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-5067
DR. PRAKASH UPRETI MD
Hospitalist
1425 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (295) 029-8769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Fedullo's NPI number?

The NPI number for Anthony Fedullo is 1013962091. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Anthony Fedullo located?

Anthony Fedullo practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-4409.

What is Anthony Fedullo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Anthony Fedullo was last updated on November 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.