EASTSIDE PEDIATRICS, PLLC
NPI 1730580036
Pediatrics in Fairport, NY
NPI Status: Active since September 06, 2014
Contact Information
2828 BAIRD RD
SUITE C
FAIRPORT, NY
ZIP 14450
Phone: (585) 310-7425
Fax: (585) 310-7428
- Organization
- Pediatrics
- CLIA Number: 33D2088846
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-16-2026
About EASTSIDE PEDIATRICS, PLLC
This page provides the complete NPI Profile along with additional information for Eastside Pediatrics, Pllc, a pediatrician established in Fairport, New York operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1730580036 assigned on September 2014. The practitioner's primary taxonomy code is 208000000X with license number 238869 (NY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Joanne Pauliny Cordaro M.d. (Owner)
- NPI
- 1730580036
- Provider Name
- EASTSIDE PEDIATRICS, PLLC
- Entity Type
- Organization
- Location Address
- 2828 BAIRD RD SUITE C FAIRPORT, NY 14450
- Location Phone
- (585) 310-7425
- Location Fax
- (585) 310-7428
- Mailing Address
- 2828 BAIRD RD SUITE C FAIRPORT, NY 14450
- Mailing Phone
- (585) 310-7425
- Mailing Fax
- (585) 310-7428
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-06-2014
- Last Update Date
- 09-06-2014
- Code Navigator
A pediatrician like Eastside Pediatrics, Pllc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 238869
- License State
- NY
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2088846
- Facility Type
- Physician Office
- Certificate Effective Date
- December 17, 2024
- Certificate Expiration Date
- December 16, 2026
- Laboratory Director
- DR. JOANNE P. CORDARO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Eastside Pediatrics, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for EASTSIDE PEDIATRICS, PLLC
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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. | |||||||||
| 1 | 7 | 3 | 0 | 5 | 8 | 0 | 0 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 6 | 0 | 10 | 8 | 0 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 6 + 0 + 1 + 0 + 8 + 0 + 0 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1730580036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1659330108 | MR. DEWEY THOMAS JACKSON MD Individual | Internal Medicine | 2828 BAIRD RD FAIRPORT, NY 14450 (585) 248-9670 |
| 1932261914 | DR. JOSEPH G DIPRIMA DPM FAC FAS Individual | Podiatrist | 2828 BAIRD RD SUITE B FAIRPORT, NY 14450 (585) 249-0020 |
| 1386778355 | PATRICIA MARIE STEGE DDS Individual | Dentist (General Practice) | 2828 BAIRD RD FAIRPORT, NY 14450 (585) 383-0840 |
| 1285818211 | ADVANCED FOOTCARE CENTER OF ROCHESTER Organization | Durable Medical Equipment & Medical Supplies | 2828 BAIRD RD FAIRPORT, NY 14450 (585) 249-0020 |
| 1245263318 | DR. MIRABAI CHOCKALINGAM M.D. Individual | Internal Medicine | 2828 BAIRD RD FAIRPORT, NY 14450 (585) 586-2355 |
| 1215092580 | SUDIPA BARR MD Individual | Pediatrics | 2828 BAIRD RD FAIRPORT, NY 14450 (585) 310-7425 |
| 1245617448 | MITCHEL COSTA D.D.S. Individual | Dentist (General Practice) | 2828 BAIRD RD FAIRPORT, NY 14450 (585) 383-0840 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730580036, enumerated in the NPI registry as an "organization" on September 06, 2014
The provider is located at 2828 Baird Rd Suite C Fairport, Ny 14450 and the phone number is (585) 310-7425
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 33D2088846 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 06, 2014. 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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