GENESIS PEDIATRICS
NPI 1306943527
Pediatrics in Rochester, NY
- Organization
- Pediatrics
- CLIA Number: 33D0718906
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-22-2027
About GENESIS PEDIATRICS
This page provides the complete NPI Profile along with additional information for Genesis Pediatrics, a pediatrician established in Rochester, New York operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1306943527 assigned on September 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Genesis Pediatrics. The authorized official of this NPI record is Catherine A Goodfellow M.d. (Member/owner)
- NPI
- 1306943527 Verify this NPI
- Provider Legal Name
- GENESIS PEDIATRICS, LLC
- Other Organization Name
- GENESIS PEDIATRICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 900 ELMGROVE ROAD ROCHESTER, NY 14624
- Location Phone
- (585) 426-4100
- Location Fax
- (585) 426-3701
- Mailing Address
- 900 ELMGROVE ROAD ROCHESTER, NY 14624
- Mailing Phone
- (585) 426-4100
- Mailing Fax
- (585) 426-3701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-20-2006
- Last Update Date
- 02-05-2015
- Code Navigator
A pediatrician like Genesis Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01414680 | MEDICAID (05) | NY | |
| 00188076590 | OTHER (01) | AETNA US HEALTHCARE | |
| 161328076 | OTHER (01) | TRICARE REGION 1 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0718906
- Facility Type
- Physician Office
- Certificate Effective Date
- April 23, 2025
- Certificate Expiration Date
- April 22, 2027
- Laboratory Director
- DR. CATHERINE A. GOODFELLOW
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Genesis Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
ROCHESTER, NY 14624
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306943527, enumerated as an "organization" on September 20, 2006.
The provider is located at 900 ELMGROVE ROAD ROCHESTER, NY 14624 and the phone number is (585) 426-4100.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Medicare, Medicaid, Aetna and Tricare. Please consult your insurance carrier or call the provider to verify.
