Organization
Pediatrics & Adolescent Medicine Group
Provider's NPPES record last updated: April 28, 2025
Overview
- Entity Type
- Organization
- NPI
- 1104861772
- Primary Specialty
- Pediatrics — Adolescent Medicine
- Practice Location
- Rochester, New York
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 10:01 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Pediatrics
Adolescent Medicine
Allopathic & Osteopathic Physicians
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Taxonomy code 2080A0000X Psychologist
Clinical Child & Adolescent
Behavioral Health & Social Service Providers
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Taxonomy code 103TC2200XInternal Medicine
Clinical Cardiac Electrophysiology
Allopathic & Osteopathic Physicians
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Taxonomy code 207RC0001X
Practice Locations
Practice Location
601 Elmwood Ave
Box 635
Rochester, New York 14642-0001
Phone: (585) 275-7787
Record Information
- Enumeration Date
- June 18, 2006
- Provider's NPPES Record Last Updated
- April 28, 2025
- Certification Date
- April 28, 2025
- NPISignal NPPES Dataset
- August 2026
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