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PORTLAND PEDIATRIC GROUP, LLP
NPI 1174745285
Pediatrics in Rochester, NY

Active since May 02, 2007CLIA 33D1104135 · Waiver
1700 HUDSON AVE, ROCHESTER, NY 14617(585) 342-5694(585) 342-2345 Get Directions Write a Review

NPPES record last updated: August 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Portland Pediatric Group, Llp NPPES

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

PORTLAND PEDIATRIC GROUP, LLP (NPI 1174745285) is a healthcare organization registered as a pediatrics in Rochester, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Roderick G Davis, President, as its authorized official.

NPPES Registry Identity

NPI1174745285
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePORTLAND PEDIATRIC GROUP, LLP
Location Address1700 HUDSON AVERochester, NY 14617-5104
Mailing Address1700 Hudson AveRochester, NY 14617-5104 · (585) 342-5694 · Fax (585) 342-2345
Phone(585) 342-5694
Fax(585) 342-2345
Organization SubpartNo
Authorized OfficialRoderick G DavisPresident · (585) 342-5694
Enumeration DateMay 2, 2007
Last NPPES UpdateAugust 31, 2012
✔ NPI 1174745285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 207792
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.
1700 HUDSON AVE, Rochester, NY 14617
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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 Waiver 33D1104135

Portland Pediatric Group LLP · Rochester, NY
Active · expires Aug 25, 2027
CLIA Number33D1104135
Laboratory TypePhysician Office
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateAugust 25, 2027
Laboratory DirectorRoderick G. Davis
Laboratory Phone(585) 342-5665
Laboratory LocationPortland Pediatric Group LLP1700 Hudson Ave, Rochester, NY 14617
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DR. CHAD B PRESTON M.D.
Pediatrics
1700 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 342-5665
MRS. SHERRY SMITH PNP
Nurse Practitioner (Pediatrics)
1700 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 342-5694
DR. MICHAEL JOSEPH HOLMES M.D.,PH.D.
Pediatrics
1700 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 342-5694
DR. RODERICK GARFIELD DAVIS M.D.
Pediatrics
1700 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 342-5694
JOSHUA JAMES NOEL MD
Pediatrics
1700 HUDSON AVE
ROCHESTER, NY 14617
Monroe County (585) 342-5665

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 Portland Pediatric Group, LLP's NPI number?

The NPI number for Portland Pediatric Group, LLP is 1174745285. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Portland Pediatric Group, LLP located?

Portland Pediatric Group, LLP is located at 1700 Hudson Ave, Rochester, NY 14617. The listed phone number is (585) 342-5694.

What is Portland Pediatric Group, LLP's specialty?

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

Does Portland Pediatric Group, LLP hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1104135) is associated with this NPI, valid through August 25, 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 Portland Pediatric Group, LLP was last updated on August 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.