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

NPI Status: Active since May 25, 2006

Contact Information

2101 LAC DE VILLE BLVD
ROCHESTER, NY
ZIP 14618
Phone: (585) 546-3265
Fax: (585) 232-5158

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  • Organization
  • Psychiatry & Neurology
  • Neurology
  • CLIA Number: 33D2085665
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-19-2026

About GREATER ROCHESTER NEUROLOGY

This page provides the complete NPI Profile along with additional information for Greater Rochester Neurology, a provider established in Rochester, New York operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1902852908 assigned on May 2006. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated 3 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 provider's is doing business as Greater Rochester Neurology. The authorized official of this NPI record is Christine Cordova (Practice Administrator)

NPI
1902852908
Provider Legal Name
GREATER ROCHESTER NEUROLOGICAL ASSOCIATES, PC
Other Organization Name
GREATER ROCHESTER NEUROLOGY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2101 LAC DE VILLE BLVD ROCHESTER, NY 14618
Location Phone
(585) 546-3265
Location Fax
(585) 232-5158
Mailing Address
2101 LAC DE VILLE BLVD ROCHESTER, NY 14618
Mailing Phone
(585) 546-3265
Mailing Fax
(585) 232-5158
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2006
Last Update Date
06-16-2022
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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

Psychiatry & Neurology Neurology

Taxonomy Code
2084N0400X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

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.

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

CHRISTINE CORDOVA

Authorized Official Title
PRACTICE ADMINISTRATOR
Authorized Official Phone
(585) 546-3265

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
199685-1OTHER (01)NYNYS LICENSE
245745OTHER (01)NYNYS LICENSE
RB0576OTHER (01)NYMEDICARE
03974898MEDICAID (05)NY 
1400028666OTHER (01)NYMEDICARE
009552OTHER (01)NYNYS LICENSE
11990FOTHER (01)NYMEDICARE
02785486MEDICAID (05)NY 
RB8434OTHER (01)NYMEDICARE
P98714OTHER (01)NYMEDICARE
RB8433OTHER (01)NYMEDICARE
011640OTHER (01)NYNYS LICENSE
01642644MEDICAID (05)NY 
04899634MEDICAID (05)NY 
02909722MEDICAID (05)NY 
231421OTHER (01)NYNYS LICENSE

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
33D2085665
Facility Type
Physician Office
Certificate Effective Date
October 20, 2024
Certificate Expiration Date
October 19, 2026
Laboratory Director
DR. ALLEN D. PETTEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Greater Rochester Neurology 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 GREATER ROCHESTER NEUROLOGY

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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.
1902852908
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2902165490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 6 + 5 + 4 + 9 + 0 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1902852908 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 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780671511DR. ALLEN DANFORTH PETTEE M.D.
Individual
Psychiatry & Neurology (Neurology)2101 LAC DE VILLE BLVD
ROCHESTER, NY 14618
(585) 546-7266
1841288636DR. JOSEPH IRA MANN M.D.
Individual
Psychiatry & Neurology (Neurology)2101 LAC DE VILLE BLVD
ROCHESTER, NY 14618
(585) 546-3265
1780672592DR. MICHAEL GERARD DUNN M.D.
Individual
Psychiatry & Neurology (Neurology)2101 LAC DE VILLE BLVD
ROCHESTER, NY 14618
(585) 546-7266
1700989399DR. ZHENXING TAI DDS PHD
Individual
Dentist2101 LAC DE VILLE BLVD
ROCHESTER, NY 14618
(585) 271-6300
1730567314DR. AMY AMES D.M.D.
Individual
Dentist2101 LAC DE VILLE BLVD
ROCHESTER, NY 14618
(585) 271-6300
1790345791LAC DE VILLE DENTAL PRACTICE, PLLC
Organization
Clinic/Center (Dental)2101 LAC DE VILLE BLVD
ROCHESTER, NY 14618
(585) 271-6300

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902852908, enumerated in the NPI registry as an "organization" on May 25, 2006

The provider is located at 2101 Lac De Ville Blvd Rochester, Ny 14618 and the phone number is (585) 546-3265

This medical organization specializes in Psychiatry & Neurology with taxonomy code 2084N0400X with a focus in Neurology

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.

The provider's CLIA number is 33D2085665 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 May 25, 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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