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

NPI Status: Active since November 06, 2006

Contact Information

5330 GENESEE ST
BOWMANSVILLE, NY
ZIP 14026
Phone: (716) 684-6140

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  • Organization
  • Pediatrics
  • Adolescent Medicine
  • CLIA Number: 33D0675072
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-29-2028

About LANCASTER-DEPEW PEDIATRICS

This page provides the complete NPI Profile along with additional information for Lancaster-depew Pediatrics, a pediatrician established in Bowmansville, New York operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1417036708 assigned on November 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 7 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 Lancaster-depew Pediatrics. The authorized official of this NPI record is Mrs. Suzanne Willard (Office Manager)

NPI
1417036708
Provider Legal Name
MICHAEL D. TERRANOVA & MARK D. BEZBATCHENKO PTR
Other Organization Name
LANCASTER-DEPEW PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5330 GENESEE ST BOWMANSVILLE, NY 14026
Location Phone
(716) 684-6140
Mailing Address
5330 GENESEE ST BOWMANSVILLE, NY 14026
Mailing Phone
(716) 684-6140
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
03-12-2019
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A pediatrician like Lancaster-depew 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 Adolescent Medicine

Taxonomy Code
2080A0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SUZANNE WILLARD

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(716) 684-6140

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
33D0675072
Facility Type
Physician Office
Certificate Effective Date
March 01, 2026
Certificate Expiration Date
February 29, 2028
Laboratory Director
DR. MICHAEL RABICE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lancaster-depew 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1417036708, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 2 + 7 + 0 + 3 + 1 + 2 + 7 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1417036708.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pediatrics (Adolescent Medicine)
5330 GENESEE ST
BOWMANSVILLE, NY 14026
Pediatrics (Adolescent Medicine)
5330 GENESEE ST
BOWMANSVILLE, NY 14026
Pediatrics (Adolescent Medicine)
5330 GENESEE ST
BOWMANSVILLE, NY 14026
Psychiatry & Neurology (Psychiatry)
5330 GENESEE ST
BOWMANSVILLE, NY 14026

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417036708, enumerated as an "organization" on November 06, 2006.

The provider is located at 5330 GENESEE ST BOWMANSVILLE, NY 14026 and the phone number is (716) 684-6140.

Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.