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GREATER ROCHESTER NEUROLOGY
NPI 1902852908
Psychiatry & Neurology - Neurology in Rochester, NY

Active since May 25, 2006
2101 LAC DE VILLE BLVD, ROCHESTER, NY 14618(585) 546-3265(585) 232-5158 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 22, 2021, Jul 20, 2021, Nov 5, 2020 and 1 more (4 updates tracked since 2019).

About Greater Rochester Neurology NPPES

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

GREATER ROCHESTER NEUROLOGY (NPI 1902852908) is a healthcare organization registered as a neurology in Rochester, New York and active in the NPI registry since May 2006. The organization lists Christine Cordova, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1902852908
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameGREATER ROCHESTER NEUROLOGICAL ASSOCIATES, PC
Location Address2101 LAC DE VILLE BLVDRochester, NY 14618-5643
Mailing Address2101 Lac De Ville BlvdRochester, NY 14618-5643 · (585) 546-3265 · Fax (585) 232-5158
Phone(585) 546-3265
Fax(585) 232-5158
Organization SubpartNo
Authorized OfficialChristine CordovaPractice Administrator · (585) 546-3265
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 16, 20224 updates tracked since enumeration
NPPES CertifiedJune 16, 2022
✔ NPI 1902852908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2101 LAC DE VILLE BLVD, Rochester, NY 14618
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Other Names 1

Doing Business AsGreater Rochester Neurology

Other Identifiers 16

Other199685-1NY · Nys License
Other245745NY · Nys License
OtherRB0576NY · Medicare
Medicaid03974898NY
Other1400028666NY · Medicare
Other009552NY · Nys License
Other11990FNY · Medicare
Medicaid02785486NY
OtherRB8434NY · Medicare
OtherP98714NY · Medicare
OtherRB8433NY · Medicare
Other011640NY · Nys License
Medicaid01642644NY
Medicaid04899634NY
Medicaid02909722NY
Other231421NY · Nys License

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Greater Rochester Neurology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Greater Rochester Neurology, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Allen Pettee, M.D.
Neurology
NPI 1780671511
2101 LAC DE VILLE BLVD
Rochester, NY 14618
(585) 546-7266
✔ PECOSSame address
Natan Khishchenko, MD
Neurology
NPI 1821202441
2101 LAC DEVILLE BLVD. SUITE 1
Rochester, NY 14618
(585) 546-3265
✔ PECOS✔ Accepts MedicareSame address
James Azurin, MD MS
Neurology
NPI 1932182649
2101 LAC DE VILLE BLVD STE 1
Rochester, NY 14618
(585) 546-3265
✔ PECOS✔ Accepts Medicare6.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2085665

Greater Rochester Neurological Associates PC · Rochester, NY
Expired · Oct 19, 2026
CLIA Number33D2085665
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2024
Certificate Expiration DateOctober 19, 2026
Laboratory DirectorDr. Allen D. Pettee
Laboratory Phone(585) 546-3265
Laboratory LocationGreater Rochester Neurological Associates PC2101 Lac Deville Boulevard, Suite # 1, Rochester, NY 14618
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Greater Rochester Neurological Associates, PC's NPI number?

The NPI number for Greater Rochester Neurological Associates, PC is 1902852908. It was assigned to this organization in the NPPES registry on May 25, 2006. The provider is doing business as Greater Rochester Neurology.

Where is Greater Rochester Neurological Associates, PC located?

Greater Rochester Neurological Associates, PC is located at 2101 Lac De Ville Blvd, Rochester, NY 14618. The listed phone number is (585) 546-3265.

What is Greater Rochester Neurological Associates, PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Greater Rochester Neurological Associates, PC enrolled in Medicare?

Yes. Greater Rochester Neurological Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Greater Rochester Neurological Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Neurology, reassign their Medicare billing to Greater Rochester Neurological Associates, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Greater Rochester Neurological Associates, PC was last updated on June 16, 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.