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BENARDOT PEDIATRICS, PLLC
NPI 1730122359
Specialist in Malone, NY

Active since June 13, 2006CLIA 33D1017351 · Waiver
58 ELM ST, MALONE, NY 12953(518) 483-5800(518) 483-1113 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Benardot Pediatrics, Pllc NPPES

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

BENARDOT PEDIATRICS, PLLC (NPI 1730122359) is a healthcare organization registered as a specialist in Malone, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Lisa A Guiffrida, Office Manager/billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1730122359
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBENARDOT PEDIATRICS, PLLC
Location Address58 ELM STMalone, NY 12953-1507
Mailing Address58 Elm StreetMalone, NY 12953 · (518) 483-5800 · Fax (481) 483-1113
Phone(518) 483-5800
Fax(518) 483-1113
Organization SubpartNo
Authorized OfficialLisa A GuiffridaOffice Manager/billing Specialist · (518) 483-5800
Enumeration DateJune 13, 2006
Last NPPES UpdateJune 9, 20222 updates tracked since enumeration
NPPES CertifiedJune 9, 2022
✔ NPI 1730122359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 229747
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
58 ELM ST, Malone, NY 12953
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Other Identifiers 1

Medicaid02459965NY

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 33D1017351

Benardot Pediatrics PLLC · Malone, NY
Active · expires Sep 22, 2027
CLIA Number33D1017351
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorEmile L. Benardot MD
Laboratory Phone(518) 483-5800
Laboratory LocationBenardot Pediatrics PLLC58 Elm Street, Malone, NY 12953
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

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

LINDSAY MILLS HOLLAND APRN
Nurse Practitioner (Family)
58 ELM ST
MALONE, NY 12953
Franklin County (201) 362-7902

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 Benardot Pediatrics, PLLC's NPI number?

The NPI number for Benardot Pediatrics, PLLC is 1730122359. It was assigned to this organization in the NPPES registry on June 13, 2006.

Where is Benardot Pediatrics, PLLC located?

Benardot Pediatrics, PLLC is located at 58 Elm St, Malone, NY 12953. The listed phone number is (518) 483-5800.

What is Benardot Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Benardot Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1017351) is associated with this NPI, valid through September 22, 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 Benardot Pediatrics, PLLC was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.