EASTSIDE PEDIATRICS, PLLC
NPI 1730580036
Pediatrics in Fairport, NY

Q: What is Eastside Pediatrics, PLLC's NPI number?

The NPI number for Eastside Pediatrics, PLLC is 1730580036. It was assigned to this organization in the NPPES registry on September 6, 2014.

Q: What is Eastside Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since September 06, 2014CLIA 33D2088846 · Waiver

2828 BAIRD RD, SUITE C, FAIRPORT, NY 14450(585) 310-7425(585) 310-7428 Get Directions Write a Review

NPPES record last updated: September 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eastside Pediatrics, Pllc NPPES

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

EASTSIDE PEDIATRICS, PLLC (NPI 1730580036) is a healthcare organization registered as a pediatrics in Fairport, New York and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Joanne Pauliny Cordaro, Owner, as its authorized official.

NPPES Registry Identity

NPI1730580036

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameEASTSIDE PEDIATRICS, PLLC

Location Address2828 BAIRD RD, SUITE CFairport, NY 14450-1247

Mailing Address2828 Baird Rd, Suite CFairport, NY 14450-1247 · (585) 310-7425 · Fax (585) 310-7428

Phone(585) 310-7425

Fax(585) 310-7428

Organization SubpartNo

Authorized OfficialJoanne Pauliny CordaroOwner · (585) 310-7425

Enumeration DateSeptember 6, 2014

✔ NPI 1730580036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 238869

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2828 BAIRD RD, Fairport, NY 14450

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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 33D2088846

Eastside Pediatrics, PLLC · Fairport, NY

Active · expires Dec 16, 2026

CLIA Number33D2088846

Laboratory TypePhysician Office

Certificate Effective DateDecember 17, 2024

Certificate Expiration DateDecember 16, 2026

Laboratory DirectorDr. Joanne P. Cordaro

Laboratory Phone(585) 310-7425

Laboratory LocationEastside Pediatrics, PLLC650 Whitney Rd - Suite P, Fairport, NY 14450

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

SUDIPA BARR MD

Pediatrics