Active NPI
River View Pediatrics, PC
- Pediatric Adolescent Medicine Physician
- Fulton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 249530
- Legal business name
- RIVER VIEW PEDIATRICS, PC
- Practice address
- 909 W 1St St S
Fulton, NY 13069-5050 - Phone
- (315) 529-4987
- Fax
- (315) 592-3571
- NPI assigned
- Jul 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sarah Finocchiaro, MD
- Title
- President
- Phone
- (315) 598-6785
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 249530 | NY | Primary |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 275132 | NY | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 277792 | NY | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 283995 | NY |
Addresses
Primary practice location
909 W 1St St S
Fulton, NY 13069-5050
Mailing address
909 W 1St St S
Fulton, NY 13069-5050
Phone (315) 529-4987
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04153068 | Medicaid | NY | |
| 04427125 | Medicaid | NY | |
| 03236775 | Medicaid | NY | |
| 03921675 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0165627 | River View Pediatrics | Certificate of waiver | Oct 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
909 W 1st St S
Fulton, NY 13069
Phone (315) 529-4987
63 S 1st St
Fulton, NY 13069
Phone (315) 598-6785
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Fulton, NY
- NPI 1619130671
-
- Pediatrics Physician
- Fulton, NY
- NPI 1720425002
-
- Pediatrics Physician
- Syracuse, NY
- NPI 1104273697
-
- Pediatric Nurse Practitioner
- Fulton, NY
- NPI 1396316444
-
- Family Nurse Practitioner
- Fulton, NY
- NPI 1508753351
-
- Pediatrics Physician
- Fulton, NY
- NPI 1912290230
-
- Pediatric Nurse Practitioner
- Fulton, NY
- NPI 1194871699
-
- Pediatrics Physician
- Endicott, NY
- NPI 1093007098
-
- Pediatrics Physician
- Fulton, NY
- NPI 1104973833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1831401850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 W 1ST ST S",
"city": "FULTON",
"state": "NY",
"postal_code": "130695050",
"telephone_number": "315-529-4987",
"fax_number": "315-592-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 W 1ST ST S",
"city": "FULTON",
"state": "NY",
"postal_code": "130695050",
"telephone_number": "315-529-4987",
"fax_number": "315-592-3571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER VIEW PEDIATRICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-07",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "FINOCCHIARO",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "315-598-6785",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "249530",
"primary": true
},
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "275132",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "277792",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "283995",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04153068",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04427125",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03236775",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03921675",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fulton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.