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
- 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
- Code Navigator
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
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.
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 |
---|---|---|---|
199685-1 | OTHER (01) | NY | NYS LICENSE |
245745 | OTHER (01) | NY | NYS LICENSE |
RB0576 | OTHER (01) | NY | MEDICARE |
03974898 | MEDICAID (05) | NY | |
1400028666 | OTHER (01) | NY | MEDICARE |
009552 | OTHER (01) | NY | NYS LICENSE |
11990F | OTHER (01) | NY | MEDICARE |
02785486 | MEDICAID (05) | NY | |
RB8434 | OTHER (01) | NY | MEDICARE |
P98714 | OTHER (01) | NY | MEDICARE |
RB8433 | OTHER (01) | NY | MEDICARE |
011640 | OTHER (01) | NY | NYS LICENSE |
01642644 | MEDICAID (05) | NY | |
04899634 | MEDICAID (05) | NY | |
02909722 | MEDICAID (05) | NY | |
231421 | OTHER (01) | NY | NYS 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.
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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 | 9 | 0 | 2 | 8 | 5 | 2 | 9 | 0 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 9 | 0 | 2 | 16 | 5 | 4 | 9 | 0 | |
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 = 8 | 8 |
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 |
---|---|---|---|
1780671511 | DR. ALLEN DANFORTH PETTEE M.D. Individual | Psychiatry & Neurology (Neurology) | 2101 LAC DE VILLE BLVD ROCHESTER, NY 14618 (585) 546-7266 |
1841288636 | DR. JOSEPH IRA MANN M.D. Individual | Psychiatry & Neurology (Neurology) | 2101 LAC DE VILLE BLVD ROCHESTER, NY 14618 (585) 546-3265 |
1780672592 | DR. MICHAEL GERARD DUNN M.D. Individual | Psychiatry & Neurology (Neurology) | 2101 LAC DE VILLE BLVD ROCHESTER, NY 14618 (585) 546-7266 |
1700989399 | DR. ZHENXING TAI DDS PHD Individual | Dentist | 2101 LAC DE VILLE BLVD ROCHESTER, NY 14618 (585) 271-6300 |
1730567314 | DR. AMY AMES D.M.D. Individual | Dentist | 2101 LAC DE VILLE BLVD ROCHESTER, NY 14618 (585) 271-6300 |
1790345791 | LAC 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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