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MARY M. GOOLEY HEMOPHILIA CENTER INC
NPI 1568428621
Clinic/Center in Rochester, NY

Active since April 25, 2006CLIA 33D0705405 · Waiver
1415 PORTLAND AVE, SUITE 500, ROCHESTER, NY 14621(585) 922-5700(585) 922-5775 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary M. Gooley Hemophilia Center Inc NPPES

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

MARY M. GOOLEY HEMOPHILIA CENTER INC (NPI 1568428621) is a healthcare organization registered as a clinic/center in Rochester, New York and active in the NPI registry since April 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Tom Wilmarth, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1568428621
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARY M. GOOLEY HEMOPHILIA CENTER INC
Location Address1415 PORTLAND AVE, SUITE 500Rochester, NY 14621-3038
Mailing Address1415 Portland Ave Ste 500Rochester, NY 14621-3043 · (585) 922-5700 · Fax (585) 922-5775
Phone(585) 922-5700
Fax(585) 922-5775
Organization SubpartNo
Authorized OfficialTom WilmarthPresident/ceo · (585) 922-5700
Enumeration DateApril 25, 2006
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1568428621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in NY · 33D0705405
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1415 PORTLAND AVE, Rochester, NY 14621
Open in Google Maps ↗

Other Identifiers 6

Other014005944NY · Blue Choice
Other103346CJNY · Preferred Care
Other50NY · Blue Cross
Other5643168NY · Aetna
Medicaid00355284NY
Other000921985001NY · Bcwny/healthnow

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 33D0705405

Mary M Gooley Hemophilia Center · Rochester, NY
Active · expires Mar 26, 2027
CLIA Number33D0705405
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 1, 1994
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Robin M. Reid
Laboratory Phone(585) 922-5700
Laboratory LocationMary M Gooley Hemophilia Center1415 Portland Ave - Suite 500, Rochester, NY 14621
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 20

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

DR. LAURA J VON DOENHOFF M.D.
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE, SUITE 555
ROCHESTER, NY 14621
Monroe County (585) 336-5050
MS. SARA ELIZABETH DOE P.A.
Physician Assistant (Surgical)
1415 PORTLAND AVE, DEPARTMENT OF SURGERY
ROCHESTER, NY 14621
Monroe County (585) 922-4715
DR. ABDALLAH YOUSSEF BITAR MD/PHD
Internal Medicine (Cardiovascular Disease)
1415 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 442-5320
DENETRA MORRIS
Social Worker (Clinical)
1415 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-3653
DR. MEREDITH J CRICCO M.D.
Internal Medicine (Geriatric Medicine)
1415 PORTLAND AVE, GERIATRIC CONSULTATIVE SERVICES
ROCHESTER, NY 14621
Monroe County (585) 922-0390
NORTHSIDE ECHOCARDIOGRAPHY, PC
Specialist
1415 PORTLAND AVE, SUITE 555
ROCHESTER, NY 14621
Monroe County (585) 336-5050
LARISSA CHAPKOVICH R.D.
Dietitian, Registered
1415 PORTLAND AVE
ROCHESTER, NY 14621
Monroe County (585) 922-4200
CHRISTOPHER JESSE RICHARDSON D.O.
Surgery
1415 PORTLAND AVE, SUITE 245
ROCHESTER, NY 14621
Monroe County (585) 922-4891

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 Mary M. Gooley Hemophilia Center Inc's NPI number?

The NPI number for Mary M. Gooley Hemophilia Center Inc is 1568428621. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Mary M. Gooley Hemophilia Center Inc located?

Mary M. Gooley Hemophilia Center Inc is located at 1415 Portland Ave Suite 500, Rochester, NY 14621. The listed phone number is (585) 922-5700.

What is Mary M. Gooley Hemophilia Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Mary M. Gooley Hemophilia Center Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0705405) is associated with this NPI, valid through March 26, 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 Mary M. Gooley Hemophilia Center Inc was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.