NPIMap

Organization Active NPI

Genesee Valley Group Health

Doing business as Lifetime Health Medical Group

  • Urgent Care Clinic/Center
  • Rochester, NY
National Provider Identifier
1396158291
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
GENESEE VALLEY GROUP HEALTH
Doing business as
Lifetime Health Medical Group
Practice address
470 Long Pond Rd
Rochester, NY 14612-3057
Phone
(585) 227-8322
NPI assigned
Jun 9, 2014
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Deb Carlascio
Title
Vice President of Operations
Phone
(585) 389-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

470 Long Pond Rd
Rochester, NY 14612-3057

Mailing address

333 Butternut Dr
Syracuse, NY 13214-2141
Phone (315) 671-6951

Other identifiers 1

IdentifierTypeStateIssuer
00355266MedicaidNY

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1396158291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 BUTTERNUT DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132142141",
            "telephone_number": "315-671-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LONG POND RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146123057",
            "telephone_number": "585-227-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESEE VALLEY GROUP HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "CARLASCIO",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "VICE PRESIDENT OF OPERATIONS",
        "authorized_official_telephone_number": "585-389-6066"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00355266",
            "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 Jun 9, 2014; 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.