FINGER LAKES DDSO ONTARIO
NPI 1023142478
Clinic/Center - Developmental Disabilities in Canandaigua, NY

Active since March 16, 2007
3891 COUNTY RD 46, CANANDAIGUA, NY 14424(518) 402-4333 Get Directions Write a Review

NPPES record last updated: August 21, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Finger Lakes Ddso Ontario NPPES

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

FINGER LAKES DDSO ONTARIO (NPI 1023142478) is a healthcare organization registered as a developmental disabilities in Canandaigua, New York and active in the NPI registry since March 2007. The organization lists Karla Smith, Director Of Central Operations, as its authorized official.

NPPES Registry Identity

NPI1023142478
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameFINGER LAKES DDSO ONTARIO
Location Address3891 COUNTY RD 46Canandaigua, NY 14424
Mailing Address44 Holland AveAlbany, NY 12229-0001 · (518) 402-4333
Organization SubpartNo
Authorized OfficialKarla SmithDirector Of Central Operations · (518) 402-4333
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 21, 2009
✔ NPI 1023142478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License✔ Licensed in NY · 00272950
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
3891 COUNTY RD 46, Canandaigua, NY 14424

Other Identifiers 1

Medicaid01433807NY

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Finger Lakes Ddso Ontario is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20040313000077Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

53

Medicare enrollment records show 53 clinicians reassign Medicare billing to Finger Lakes Ddso Ontario, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Internal Medicine14
Nurse Practitioner10
Physical Medicine and Rehabilitation8
Anesthesiology4
Family Practice3
Psychiatry3
Diagnostic Radiology2
Cardiovascular Disease (Cardiology)1
8 other specialties8

Nearest to this location (20)

See all 53
Internal Medicine
NPI 1376649111
111 MALTESE DR
Middletown, NY 10940
(845) 342-4774
✔ PECOS175 mi
Physical Medicine and Rehabilitation
NPI 1134142219
707 E MAIN ST
Middletown, NY 10940
(845) 333-7575
✔ PECOS177 mi
Critical Care (Intensivists)
NPI 1336438167
155 CRYSTAL RUN RD
Middletown, NY 10941
(845) 703-6999
✔ PECOS177 mi
Internal Medicine
NPI 1720029770
2834 RT. 17M MID-HUDSON FORENSIC PSYCHIATRIC CENTER,
New Hampton, NY 10958
(845) 283-3847
✔ PECOS177 mi
Nurse Practitioner
NPI 1982263901
175 HIGH ST
Newton, NJ 07860
(973) 579-8321
✔ PECOS178 mi
Cardiovascular Disease (Cardiology)
NPI 1265510556
79 ROUTE 59 STE 5
Suffern, NY 10901
(845) 357-1717
✔ PECOS200 mi
Physical Medicine and Rehabilitation
NPI 1750380572
51 N ROUTE 9W
West Haverstraw, NY 10993
(845) 786-4101
✔ PECOS201 mi
Neurology
NPI 1912904426
51-55 ROUTE 9W
West Haverstraw, NY 10993
(845) 786-4459
✔ PECOS201 mi
Anesthesiology
NPI 1053349191
500 N FRANKLIN TPKE SUITE 206
Ramsey, NJ 07446
(201) 962-7282
✔ PECOS202 mi
Anesthesiology
NPI 1336155019
500 N FRANKLIN TPKE SUITE 206
Ramsey, NJ 07446
(201) 962-7282
✔ PECOS202 mi
Nurse Practitioner
NPI 1790800407
51-55N ROUTE 9W
West Haverstraw, NY 10993
(845) 786-4000
✔ PECOS202 mi
Urology
NPI 1184668808
11 MEDICAL PARK DR SUITE 101
Pomona, NY 10970
(845) 354-5800
✔ PECOS202 mi
Clinical Psychologist
NPI 1487615548
11 MEDICAL PARK DR SUITE 102
Pomona, NY 10970
(800) 402-8019
✔ PECOS✔ Accepts Medicare202 mi
Psychiatry
NPI 1740393024
29 RAVENNA DR
Pomona, NY 10970
(845) 362-9176
✔ PECOS203 mi
Pulmonary Disease
NPI 1245258243
55 OLD NYACK TURNPIKE STE 301
Nanuet, NY 10954
(845) 623-9400
✔ PECOS✔ Accepts Medicare205 mi
Dentist
NPI 1790097210
60 DUTCH HILL RD SUITE 10
Orangeburg, NY 10962
(845) 359-1300
✔ PECOS210 mi
Infectious Disease
NPI 1659317238
416 E 76TH ST 4TH FLOOR
New York, NY 10021
(212) 434-5393
✔ PECOS223 mi
Geriatric Medicine
NPI 1992842819
100 PATRIOTS RD
Stony Brook, NY 11790
(631) 444-8500
✔ PECOS252 mi
Family Practice
NPI 1225365950
67 KAREN CT
Wading River, NY 11792
(631) 953-7719
✔ PECOS✔ Accepts Medicare263 mi
Diagnostic Radiology
NPI 1093707457
721 W STATE ROUTE 22
Lake Zurich, IL 60047
(708) 827-5732
✔ PECOS558 mi
See all 53 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Finger Lakes Ddso Ontario's NPI number?

The NPI number for Finger Lakes Ddso Ontario is 1023142478. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Finger Lakes Ddso Ontario located?

Finger Lakes Ddso Ontario is located at 3891 County Rd 46, Canandaigua, NY 14424. The listed phone number is (518) 402-4333.

What is Finger Lakes Ddso Ontario's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Is Finger Lakes Ddso Ontario enrolled in Medicare?

Yes. Finger Lakes Ddso Ontario is registered in the Medicare PECOS enrollment system.

When is Finger Lakes Ddso Ontario's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Finger Lakes Ddso Ontario?

According to the CMS Revalidation Reassignment List (October 2026 release), 53 clinicians in 16 Medicare specialties reassign their Medicare billing to Finger Lakes Ddso Ontario. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (14), Nurse Practitioner (10) and Physical Medicine and Rehabilitation (8). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Finger Lakes Ddso Ontario was last updated on August 21, 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.