IRONDEQUOIT PEDIATRICS
NPI 1568609568
Clinic/Center in Rochester, NY
NPI Status: Active since January 13, 2009
Contact Information
485 TITUS AVE STE F
ROCHESTER, NY
ZIP 14617
Phone: (585) 266-0310
Fax: (585) 266-9207
- Organization
- Clinic/Center
- CLIA Number: 33D0716803
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-10-2027
About IRONDEQUOIT PEDIATRICS
This page provides the complete NPI Profile along with additional information for Irondequoit Pediatrics, a provider established in Rochester, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1568609568 assigned on January 2009. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Andrew D Holt Md (Sole Proprietor)
- NPI
- 1568609568
- Provider Name
- IRONDEQUOIT PEDIATRICS
- Entity Type
- Organization
- Location Address
- 485 TITUS AVE STE F ROCHESTER, NY 14617
- Location Phone
- (585) 266-0310
- Location Fax
- (585) 266-9207
- Mailing Address
- 485 TITUS AVE STE F ROCHESTER, NY 14617
- Mailing Phone
- (585) 266-0310
- Mailing Fax
- (585) 266-9207
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-13-2009
- Last Update Date
- 01-13-2009
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- 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).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics |
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.
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
- 33D0716803
- Facility Type
- Physician Office
- Certificate Effective Date
- March 11, 2025
- Certificate Expiration Date
- March 10, 2027
- Laboratory Director
- DR. DOUGLAS H. BENNETT
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Irondequoit Pediatrics after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 6 | 8 | 6 | 0 | 9 | 5 | 6 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 12 | 0 | 18 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 2 + 0 + 1 + 8 + 5 + 1 + 2 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1568609568 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
VIRGINIA ASELTINE LMT
Massage Therapist
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568609568, enumerated as an "organization" on January 13, 2009.
The provider is located at 485 TITUS AVE STE F ROCHESTER, NY 14617 and the phone number is (585) 266-0310.
Clinic/Center with taxonomy code 261Q00000X.
