NPIMap

Organization Active NPI

Genesee Valley Group Health Association

Doing business as Lifetime Health Medical Group

  • Clinic Pharmacy
  • Rochester, NY
National Provider Identifier
1144384991
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic PharmacyTaxonomy code 3336C0002X
License
018428 Issued in NY
Legal business name
GENESEE VALLEY GROUP HEALTH ASSOCIATION
Doing business as
Lifetime Health Medical Group
Practice address
470 Long Pond Rd
Attention Pharmacy
Rochester, NY 14612-3056
Phone
(585) 227-7906
Fax
(585) 227-5548
NPI assigned
Dec 19, 2006
Last updated
May 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Arthur E Orlick, MD
Title
President & Chief Medical Officer
Phone
(716) 656-4034

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 018428 NY
Clinic Pharmacy 3336C0002X 018428 NY Primary

Addresses

Primary practice location

470 Long Pond Rd
Attention Pharmacy
Rochester, NY 14612-3056

Mailing address

470 Long Pond Rd
Attention Pharmacy
Rochester, NY 14612-3056
Phone (585) 227-7906

Other identifiers 1

IdentifierTypeStateIssuer
01853832MedicaidNY

Other names 1

  • Lifetime Health Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Genesee Valley Group Health Associaton52 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 23

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1144384991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LONG POND RD",
            "address_2": "ATTENTION PHARMACY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123056",
            "telephone_number": "585-227-7906",
            "fax_number": "585-227-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LONG POND RD",
            "address_2": "ATTENTION PHARMACY",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123056",
            "telephone_number": "585-227-7906",
            "fax_number": "585-227-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE VALLEY GROUP HEALTH ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "ORLICK",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "716-656-4034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "018428",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "018428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01853832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.