Genesis Pediatrics

LBN: Genesis Pediatrics, Llc
Genesis Pediatrics is an health care organization with primary practice located at 900 Elmgrove Road , Rochester NY 14624-6236. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Genesis Pediatrics, Llc can be contacted via phone (585) 426-4100, or through Goodfellow, Catherine A via phone (585) 426-4100.

Contact Information

Primary practice address
900 Elmgrove Road Rochester NY 14624-6236
Phone: (585) 426-4100
Fax: (585) 426-3701
Website:
Map and Directions
Authorized official contact:
Name: Goodfellow, Catherine A Doctor of Medicine (MD)
Phone: (585) 426-4100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1306943527
LBN Legal business name Genesis Pediatrics, Llc
DBA Doing business as Genesis Pediatrics
Authorized official Goodfellow, Catherine A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Feb 5th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306943527 NPPES
New York MEDICAID 01414680
New York Other 161328076
New York Other 00188076590

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