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LAKESIDE HOSPITAL INTERNAL MEDICINE GROUP
NPI 1962555854
Internal Medicine in Brockport, NY

Active since January 22, 2007
156 WEST AVE, BROCKPORT, NY 14420(585) 395-6095(585) 395-6036 Get Directions Write a Review

NPPES record last updated: July 14, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lakeside Hospital Internal Medicine Group NPPES

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

LAKESIDE HOSPITAL INTERNAL MEDICINE GROUP (NPI 1962555854) is a healthcare organization registered as an internal medicine in Brockport, New York and active in the NPI registry since January 2007. The organization lists Rajendra Mehta, Partner, as its authorized official.

NPPES Registry Identity

NPI1962555854
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKESIDE HOSPITAL INTERNAL MEDICINE GROUP
Location Address156 WEST AVEBrockport, NY 14420-1229
Mailing Address156 West AveBrockport, NY 14420-1229 · (585) 395-6095 · Fax (585) 395-6036
Phone(585) 395-6095
Fax(585) 395-6036
Organization SubpartNo
Authorized OfficialRajendra MehtaPartner · (585) 637-9196
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJuly 14, 2009
✔ NPI 1962555854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
156 WEST AVE, Brockport, NY 14420
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Other Identifiers 4

OtherG0181141590NY · Blue Cross
Medicare ID-Type Unspecified32795ANY
Medicaid02198570NY
OtherMG150NY · Preferred Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

LAKESIDE IMAGING, LLC
Radiology (Diagnostic Radiology)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (716) 859-2954
DR. TIMOTHY VERNON HAGY M.D.
Emergency Medicine (Emergency Medical Services)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
UNIVERSITY OF ROCHESTER
Pharmacy (Community/Retail Pharmacy)
156 WEST AVE, PHARMACY
BROCKPORT, NY 14420
Monroe County (585) 758-7562
ERIK PETERSON D.O.
Emergency Medicine
156 WEST AVE, EMERGENCY DEPARTMENT
BROCKPORT, NY 14420
Monroe County (585) 395-6095
EMMA LEATHAM PA-C
Physician Assistant (Medical)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 758-7557
AMY LORRAINE STACY MS, RD, CDN
Dietitian, Registered
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 395-6095
INTERNAL MEDICINE AT LAKESIDE
Internal Medicine
156 WEST AVE, SUITE 106
BROCKPORT, NY 14420
Monroe County (585) 395-6095
JORDAN BLOCK
Physical Therapist (Orthopedic)
156 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 275-5321

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 Lakeside Hospital Internal Medicine Group's NPI number?

The NPI number for Lakeside Hospital Internal Medicine Group is 1962555854. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Lakeside Hospital Internal Medicine Group located?

Lakeside Hospital Internal Medicine Group is located at 156 West Ave, Brockport, NY 14420. The listed phone number is (585) 395-6095.

What is Lakeside Hospital Internal Medicine Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Hospital Internal Medicine Group was last updated on July 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.