PEDIATRICS & ADOLESCENT MEDICINE GROUP
NPI 1104861772
Pediatrics - Adolescent Medicine in Rochester, NY

Q: What is Pediatrics & Adolescent Medicine Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Active since June 18, 2006

601 ELMWOOD AVE, BOX 635, ROCHESTER, NY 14642(585) 275-7787(585) 275-2352 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2022, Mar 9, 2018 (2 updates tracked since 2018).

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About Pediatrics & Adolescent Medicine Group NPPES

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

PEDIATRICS & ADOLESCENT MEDICINE GROUP (NPI 1104861772) is a healthcare organization registered as an adolescent medicine in Rochester, New York and active in the NPI registry since June 2006. The organization lists Jill M Hetterich, Senior Director Of Finance Urmfg, as its authorized official.

NPPES Registry Identity

NPI1104861772

Entity TypeOrganization

Primary Taxonomy2080A0000X

Legal Business NamePEDIATRICS & ADOLESCENT MEDICINE GROUP

Location Address601 ELMWOOD AVE, BOX 635Rochester, NY 14642-0001

Mailing Address601 Elmwood Ave, Box 635Rochester, NY 14642-0001 · (585) 784-9749

Phone(585) 275-7787

Fax(585) 275-2352

Organization SubpartNo

Authorized OfficialJill M HetterichSenior Director Of Finance Urmfg · (585) 756-4008

Enumeration DateJune 18, 2006

Last NPPES UpdateApril 28, 20252 updates tracked since enumeration

NPPES CertifiedApril 28, 2025

✔ NPI 1104861772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

601 ELMWOOD AVE, Rochester, NY 14642

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Other Identifiers 1

Medicaid00485887NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

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 Pediatrics & Adolescent Medicine Group's NPI number?

The NPI number for Pediatrics & Adolescent Medicine Group is 1104861772. It was assigned to this organization in the NPPES registry on June 18, 2006.

Where is Pediatrics & Adolescent Medicine Group located?

Pediatrics & Adolescent Medicine Group is located at 601 Elmwood Ave Box 635, Rochester, NY 14642. The listed phone number is (585) 275-7787.

What is Pediatrics & Adolescent Medicine Group's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

What insurance does Pediatrics & Adolescent Medicine Group accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatrics & Adolescent Medicine Group as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pediatrics & Adolescent Medicine Group was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.