Organization Active NPI

Goodman Pediatrics, LLP

  • Pediatrics Physician
  • Rochester, NY
National Provider Identifier
1306085345
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
206615 Issued in NY
Legal business name
GOODMAN PEDIATRICS, LLP
Practice address
500 Helendale Road
Suite Lle-10
Rochester, NY 14609-3109
Phone
(585) 473-7028
Fax
(585) 473-0051
NPI assigned
Feb 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Authorized official

Name
Dr. Karen Susan Penird, MDNPI 1699761296
Title
Partner
Phone
(585) 473-7028

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 206615 NY Primary

Addresses

Primary practice location

500 Helendale Road
Suite Lle-10
Rochester, NY 14609-3109

Mailing address

500 Helendale Road
Suite Lle-10
Rochester, NY 14609-3109
Phone (585) 473-7028

Other identifiers 1

IdentifierTypeStateIssuer
02688695MedicaidNY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0685744Goodman Pediatrics LLP500 Helendale Road, Suite Lle-10, Rochester, NY 14609Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory

Locations

500 Helendale Rd
Ste 200
Rochester, NY 14609
Phone (585) 473-7028

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583798400000",
    "number": "1306085345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELENDALE ROAD",
            "address_2": "SUITE LLE-10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093109",
            "telephone_number": "585-473-7028",
            "fax_number": "585-473-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HELENDALE ROAD",
            "address_2": "SUITE LLE-10",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146093109",
            "telephone_number": "585-473-7028",
            "fax_number": "585-473-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-16",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A",
        "authorized_official_last_name": "PENIRD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "585-473-7028",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "206615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02688695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.