NORTHEAST PEDIATRICS & ADOLESCENT MEDICINE, LLP
NPI 1184724189
Pediatrics in Ithaca, NY

Q: What is Northeast Pediatrics & Adolescent Medicine, LLP's specialty?

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

Active since September 22, 2006

10 GRAHAM RD W, ITHACA, NY 14850(607) 257-2244(607) 266-7341 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Northeast Pediatrics & Adolescent Medicine, Llp NPPES

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

NORTHEAST PEDIATRICS & ADOLESCENT MEDICINE, LLP (NPI 1184724189) is a healthcare organization registered as a pediatrics in Ithaca, New York and active in the NPI registry since September 2006. The organization lists Marugerite Uphoff, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1184724189

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameNORTHEAST PEDIATRICS & ADOLESCENT MEDICINE, LLP

Location Address10 GRAHAM RD WIthaca, NY 14850-1055

Mailing Address10 Graham Rd WIthaca, NY 14850-1055 · (607) 257-2244 · Fax (607) 266-7341

Phone(607) 257-2244

Fax(607) 266-7341

Organization SubpartNo

Authorized OfficialMarugerite UphoffSenior Partner · (607) 257-2244

Enumeration DateSeptember 22, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1184724189 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.

10 GRAHAM RD W, Ithaca, NY 14850

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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 33D0667583

Northeast Pediatrics And Adolescent Medicine, LLP · Ithaca, NY

Expired · Jul 31, 2026

CLIA Number33D0667583

Laboratory TypePhysician Office

Certificate Effective DateMarch 25, 2024

Certificate Expiration DateJuly 31, 2026

Laboratory DirectorDr. Timothy C. Harris

Laboratory Phone(607) 257-2188

Laboratory LocationNortheast Pediatrics And Adolescent Medicine, LLP10 Graham Rd West, Ithaca, NY 14850

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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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.

CHARLENE BREW

Physician Assistant