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IRONDEQUOIT PEDIATRICS, PLLC
NPI 1164727475
Pediatrics in Rochester, NY

Active since January 18, 2011CLIA 33D0716803 · Certificate of Compliance
809 EAST RIDGE ROAD, ROCHESTER, NY 14621(585) 266-0310(585) 266-9207 Get Directions Write a Review

NPPES record last updated: November 16, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Irondequoit Pediatrics, Pllc NPPES

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

IRONDEQUOIT PEDIATRICS, PLLC (NPI 1164727475) is a healthcare organization registered as a pediatrics in Rochester, New York and active in the NPI registry since January 2011. The organization holds a CLIA Certificate of Compliance certificate valid through March 10, 2027 and lists Douglas Howard Bennett, Md, Owner, as its authorized official.

NPPES Registry Identity

NPI1164727475
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameIRONDEQUOIT PEDIATRICS, PLLC
Location Address809 EAST RIDGE ROADRochester, NY 14621-1710
Mailing Address809 East Ridge RoadRochester, NY 14621-1710 · (585) 266-0310 · Fax (585) 266-9207
Phone(585) 266-0310
Fax(585) 266-9207
Organization SubpartNo
Authorized OfficialDouglas Howard BennettMd, Owner · (585) 266-0310
Enumeration DateJanuary 18, 2011
Last NPPES UpdateNovember 16, 2018
✔ NPI 1164727475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
809 EAST RIDGE ROAD, Rochester, NY 14621
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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 SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0716803

Irondequoit Pediatrics, PLLC · Rochester, NY
Active · expires Mar 10, 2027
CLIA Number33D0716803
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2025
Certificate Expiration DateMarch 10, 2027
Laboratory DirectorDr. Douglas H. Bennett
Laboratory Phone(585) 266-0310
Laboratory LocationIrondequoit Pediatrics, PLLC809 East Ridge Road, Rochester, NY 14621
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MEGHEDY SHANAZARIAN KHODAK MD
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 266-0310
DR. AMANDA SOGN KNAPP M.D.
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 225-2525
DR. KRISTEN S SAVAGE MD
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 266-0310
DR. DOUGLAS BENNETT M.D.
Pediatrics
809 EAST RIDGE ROAD
ROCHESTER, NY 14621
Monroe County (585) 266-0310

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 Irondequoit Pediatrics, PLLC's NPI number?

The NPI number for Irondequoit Pediatrics, PLLC is 1164727475. It was assigned to this organization in the NPPES registry on January 18, 2011.

Where is Irondequoit Pediatrics, PLLC located?

Irondequoit Pediatrics, PLLC is located at 809 East Ridge Road, Rochester, NY 14621. The listed phone number is (585) 266-0310.

What is Irondequoit Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Irondequoit Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D0716803) is associated with this NPI, valid through March 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Irondequoit Pediatrics, PLLC was last updated on November 16, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.