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MENDON PEDIATRICS,PLLC
NPI 1902913502
Pediatrics in Mendon, NY

Active since August 23, 2006CLIA 33D0943331 · Waiver
30 ASSEMBLY DRIVE, SUITE 101, MENDON, NY 14506(585) 624-4520(585) 624-4829 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mendon Pediatrics,pllc NPPES

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

MENDON PEDIATRICS,PLLC (NPI 1902913502) is a healthcare organization registered as a pediatrics in Mendon, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2028 and lists Donna D. Meyer, Managing Physician, as its authorized official.

NPPES Registry Identity

NPI1902913502
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameMENDON PEDIATRICS,PLLC
Location Address30 ASSEMBLY DRIVE, SUITE 101Mendon, NY 14506
Mailing Address30 Assembly Drive, Suite 101Mendon, NY 14506 · (585) 624-4520 · Fax (585) 624-4829
Phone(585) 624-4520
Fax(585) 624-4829
Organization SubpartNo
Authorized OfficialDonna D. MeyerManaging Physician · (585) 624-4520
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1902913502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 205863
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.
30 ASSEMBLY DRIVE, Mendon, NY 14506
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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 33D0943331

Mendon Pediatrics PLLC · Mendon, NY
Active · expires Mar 24, 2028
CLIA Number33D0943331
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDonna D. Meyer
Laboratory Phone(585) 624-4520
Laboratory LocationMendon Pediatrics PLLC30 Assembly Dr, #101 PO Box 488, Mendon, NY 14506
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.

DR. ANN K KUNKEL DDS
Dentist (General Practice)
30 ASSEMBLY DRIVE, SUITE 102
MENDON, NY 14506
Monroe County (585) 624-5886

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 Mendon Pediatrics,pllc's NPI number?

The NPI number for Mendon Pediatrics,pllc is 1902913502. It was assigned to this organization in the NPPES registry on August 23, 2006.

Where is Mendon Pediatrics,pllc located?

Mendon Pediatrics,pllc is located at 30 Assembly Drive Suite 101, Mendon, NY 14506. The listed phone number is (585) 624-4520.

What is Mendon Pediatrics,pllc's specialty?

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

Does Mendon Pediatrics,pllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0943331) is associated with this NPI, valid through March 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mendon Pediatrics,pllc was last updated on August 22, 2020. 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.