Provider Demographics
NPI:1023075165
Name:RINALDI, JAMES J (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:RINALDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 N MAPLEMERE RD STE 120
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3178
Mailing Address - Country:US
Mailing Address - Phone:716-836-4646
Mailing Address - Fax:716-836-4696
Practice Address - Street 1:111 N MAPLEMERE RD STE 120
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-3178
Practice Address - Country:US
Practice Address - Phone:716-836-4646
Practice Address - Fax:716-836-4696
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2321732085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
000527712009OtherBLUE SHIELD WNY
P020232173OtherBLUE SHIELD ROCHESTER
00026878502OtherUNIVERA
000527712001OtherBLUE SHIELD WNY
0142863OtherGHI
00026878505OtherUNIVERA
000527712007OtherBLUE SHIELD WNY
195342FFOtherPREFERRED CARE
P00134032OtherRR MEDICARE
040810000105OtherFIDELIS
P00144750OtherRR MEDICARE
NY02558565Medicaid
1612549OtherINDEPENDENT HEALTH
NY2321735BOtherWORKERS COMPENSATION
P010232173OtherBLUE CHOICE
00026878507OtherUNIVERA
4194030OtherGHI
P040232173OtherBLUE SHIELD ROCHESTER
0142863OtherGHI
040810000105OtherFIDELIS
P010232173OtherBLUE CHOICE
RB2815Medicare PIN
P040232173OtherBLUE SHIELD ROCHESTER