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LANCASTER-DEPEW PEDIATRICS
NPI 1417036708
Pediatrics - Adolescent Medicine in Bowmansville, NY

Active since November 06, 2006CLIA 33D0675072 · Waiver
5330 GENESEE ST, BOWMANSVILLE, NY 14026(716) 684-6140 Get Directions Write a Review

NPPES record last updated: March 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lancaster-depew Pediatrics NPPES

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

LANCASTER-DEPEW PEDIATRICS (NPI 1417036708) is a healthcare organization registered as an adolescent medicine in Bowmansville, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Suzanne Willard, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417036708
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMICHAEL D. TERRANOVA & MARK D. BEZBATCHENKO PTR
Location Address5330 GENESEE STBowmansville, NY 14026-1035
Mailing Address5330 Genesee StBowmansville, NY 14026-1035 · (716) 684-6140
Phone(716) 684-6140
Organization SubpartNo
Authorized OfficialSuzanne WillardOffice Manager · (716) 684-6140
Enumeration DateNovember 6, 2006
Last NPPES UpdateMarch 12, 2019
✔ NPI 1417036708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

5330 GENESEE ST, Bowmansville, NY 14026
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Other Names 1

Doing Business AsLancaster-depew Pediatrics

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 33D0675072

Lancaster-Depew Pediatrics · Bowmansville, NY
Active · expires Feb 29, 2028
CLIA Number33D0675072
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDr. Michael Rabice
Laboratory Phone(716) 684-6140
Laboratory LocationLancaster-Depew Pediatrics5330 Genesee Street, Bowmansville, NY 14026
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DE LA CRUZ NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Psychiatry & Neurology (Psychiatry)
5330 GENESEE ST
BOWMANSVILLE, NY 14026
Erie County (716) 300-8323
DR. MICHAEL RABICE M.D.
Pediatrics (Adolescent Medicine)
5330 GENESEE ST
BOWMANSVILLE, NY 14026
Erie County (716) 684-6140
DR. MICHAEL D. TERRANOVA M.D.
Pediatrics (Adolescent Medicine)
5330 GENESEE ST
BOWMANSVILLE, NY 14026
Erie County (716) 684-6140
DR. ELIZABETH DAVIS
Pediatrics (Adolescent Medicine)
5330 GENESEE ST
BOWMANSVILLE, NY 14026
Erie County (716) 684-6140

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 Michael D. Terranova & Mark D. Bezbatchenko Ptr's NPI number?

The NPI number for Michael D. Terranova & Mark D. Bezbatchenko Ptr is 1417036708. It was assigned to this organization in the NPPES registry on November 6, 2006.

Where is Michael D. Terranova & Mark D. Bezbatchenko Ptr located?

Michael D. Terranova & Mark D. Bezbatchenko Ptr is located at 5330 Genesee St, Bowmansville, NY 14026. The listed phone number is (716) 684-6140.

What is Michael D. Terranova & Mark D. Bezbatchenko Ptr's specialty?

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

Does Michael D. Terranova & Mark D. Bezbatchenko Ptr hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0675072) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michael D. Terranova & Mark D. Bezbatchenko Ptr was last updated on March 12, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.