Individual provider Active NPI

Dana Lynn Norman, DO

  • Pediatrics Physician
  • Geneva, NY
National Provider Identifier
1669932711
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
327783 Issued in NY
Practice address
833 Canandaigua Rd
Geneva, NY 14456-2015
Phone
(315) 787-5200
Fax
(315) 787-5221
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 327783 NY Primary

Addresses

Primary practice location

833 Canandaigua Rd
Geneva, NY 14456-2015

Mailing address

200 North St Ste 101
Geneva, NY 14456-1561
Phone (315) 787-5200

Other practice location 1

207 Lake St
Penn Yan, NY 14527-1802
Phone (315) 536-3362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240507002790 NY Practitioner - Pediatric Medicine 6406181320 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
327783NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rochester General Hospital Pediatrics Current Accepting new patients
Rochester General Hospital CurrentSince Mar 30, 2024 Accepting new patients
Rochester General Hospital CurrentSince Mar 30, 2024 Accepting new patients
Western New York Medical Practice P.C CurrentSince Mar 30, 2024 Accepting new patients
Western New York Medical Practice P.C. Pediatrics CurrentSince Mar 30, 2024 Accepting new patients
The Childrens Institute of Pittsburgh Pediatrics PastSince Aug 1, 2022 Accepting new patients
Kids Plus Pediatrics Pediatrics PastSince Aug 1, 2022 Accepting new patients

Locations

833 Canandaigua Rd
Geneva, NY 14456
Phone (315) 210-1331

200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100

200 North St
Geneva, NY 14456
Phone (315) 787-5100

207 Lake St
Penn Yan, NY 14527
Phone (315) 536-3362

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: dnorman391490@direct.rochesterregional.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1669932711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 101",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CANANDAIGUA RD",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144562015",
            "telephone_number": "315-787-5200",
            "fax_number": "315-787-5221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Lake St",
            "address_purpose": "LOCATION",
            "city": "Penn Yan",
            "state": "NY",
            "postal_code": "145271802",
            "country_code": "US",
            "telephone_number": "315-536-3362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DANA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "327783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.