LIFETIME HEALTH MEDICAL GROUP
NPI 1104842178
Clinic/Center in Pittsford, NY

NPI Status: Active since July 14, 2006

Contact Information

77 SULLYS TRL
PITTSFORD, NY
ZIP 14534
Phone: (585) 248-5300

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  • Organization
  • Clinic/Center

About LIFETIME HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Lifetime Health Medical Group, a provider established in Pittsford, New York operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104842178 assigned on July 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. Lifetime Health Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lifetime Health Medical Group. The authorized official of this NPI record is Deborah Carlascio Mha (Vice President Of Operations)

NPI
1104842178
Provider Legal Name
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Other Organization Name
LIFETIME HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
77 SULLYS TRL PITTSFORD, NY 14534
Location Phone
(585) 248-5300
Mailing Address
77 SULLYS TRL PITTSFORD, NY 14534
Mailing Phone
(585) 248-5300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-14-2006
Last Update Date
12-20-2016
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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)
1133NN1002XDietary & Nutritional Service Providers

Nutritionist
Nutrition, Education

 
2152W00000XEye and Vision Services Providers

Optometrist

 
3207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
4207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
5207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
62085B0100XAllopathic & Osteopathic Physicians

Radiology
Body Imaging

 
7213E00000XPodiatric Medicine & Surgery Service Providers

Podiatrist

 
8261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 
9261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

 
10332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 
11332H00000XSuppliers

Eyewear Supplier

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBORAH CARLASCIO MHA

Authorized Official Title
VICE PRESIDENT OF OPERATIONS
Authorized Official Phone
(585) 248-5300

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1307940004MEDICARE NSC (07)NY 
17513AMEDICARE PIN (08)NY 
1307940002MEDICARE NSC (07)NY 
1307940003MEDICARE NSC (07)NY 
1307940005MEDICARE NSC (07)NY 

Reviews for LIFETIME HEALTH MEDICAL GROUP

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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.
1104842178
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21041644114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 1 + 6 + 4 + 4 + 1 + 1 + 4 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1104842178 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 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043364516MR. VINCENT LOUIS REDA BS
Individual
Pharmacist77 SULLYS TRL
PITTSFORD, NY 14534
(585) 389-6025
1336288554DR. HARNEET RIKKI KOHLI MD
Individual
Internal Medicine77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1194918227DR. JACQUELINE L BERES DC
Individual
Chiropractor77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1972767440DR. CHRISTINE M JEAN-JACQUES PHD
Individual
Psychologist (Clinical)77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1750487625GENESEE VALLEY GROUP HEALTH ASSOCIATION
Organization
Pharmacy77 SULLYS TRL PERINTON HEALTH CENTER PHAMACY
PITTSFORD, NY 14534
(585) 248-5300
1245375377GENESEE VALLEY GROUP HEALTH ASSOCIATION
Organization
Pharmacy (Clinic Pharmacy)77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-8340
1801080130DR. EFFAT JEHAN MD
Individual
Family Medicine77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1205960523GENESEE VALLEY GROUP HEALTH ASSOCIATION
Organization
Durable Medical Equipment & Medical Supplies77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1962403089DR. THEO WILLIAM TURQUE M.D.
Individual
Family Medicine77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1467723494MS. LESLIE ANNE DINTRUFF FNP-C
Individual
Nurse Practitioner (Family)77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1497764922 DARREN C HOUPT MD
Individual
Family Medicine77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1679832174 JAMES NORMAN FOSTER M.D.
Individual
Orthopaedic Surgery77 SULLYS TRL
PITTSFORD, NY 14534
(585) 389-6070
1750095808 LAUREN ELIZABETH KUSSE NP
Individual
Nurse Practitioner77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1750655023 VIRGINIA KELLEY F.N.P
Individual
Nurse Practitioner (Family)77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1528897246 MELISSA A NORTZ
Individual
Physician Assistant77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300
1477966703 SAMANTHA M GLARNER RN, FNP-C
Individual
Nurse Practitioner (Family)77 SULLYS TRL
PITTSFORD, NY 14534
(585) 248-5300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104842178, enumerated in the NPI registry as an "organization" on July 14, 2006

The provider is located at 77 Sullys Trl Pittsford, Ny 14534 and the phone number is (585) 248-5300

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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