Organization Active NPI

Genesee Valley Obstetrics & Gynecology, P.C.

  • Obstetrics Physician
  • Penfield, NY
National Provider Identifier
1730229048
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
GENESEE VALLEY OBSTETRICS & GYNECOLOGY, P.C.
Practice address
21 Willow Pond Way
Suite 200
Penfield, NY 14526-2687
Phone
(585) 641-0399
NPI assigned
Feb 7, 2007
Last updated
Jun 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Mrs. Christine Sue Gerg
Title
Practice Administrator
Phone
(585) 697-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X NU Primary

Addresses

Primary practice location

21 Willow Pond Way
Suite 200
Penfield, NY 14526-2687

Mailing address

21 Willow Pond Way Ste 100
Penfield, NY 14526-2687
Phone (585) 641-0399

Other practice location 1

990 South Ave Ste 200
Rochester, NY 14620-2740
Phone (585) 232-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051011000344 NY Part B Supplier - Clinic/Group Practice 1951326719 Receives reassigned benefits from 10 practitioners
Practice locations: Rochester, NY; Penfield, NY

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
33D0878606Genesee Valley Obstetrics & Gynecology PC21 Willow Pond Way Suite 100, Penfield, NY 14526Provider-performed microscopyOct 28, 2027

National Provider Directory

National Provider Directory

Locations

4 Coulter Rd
#1730
Clifton Springs, NY 14432
Phone (315) 906-0052

21 Willow Pond Way
Ste 100
Penfield, NY 14526
Phone (585) 641-0399

21 Willow Pond Way
Ste 200
Penfield, NY 14526
Phone (585) 377-0840

990 South Ave
Ste 200
Rochester, NY 14620
Phone (585) 232-3210

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1730229048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY STE 100",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-641-0399",
            "fax_number": "585-641-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WILLOW POND WAY",
            "address_2": "SUITE 200",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145262687",
            "telephone_number": "585-641-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 South Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146202740",
            "country_code": "US",
            "telephone_number": "585-232-3210",
            "fax_number": "585-641-0388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESEE VALLEY OBSTETRICS & GYNECOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "GERG",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "585-697-3201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Penfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.