Active NPI
Mendon Pediatrics,PLLC
- Pediatrics Physician
- Mendon, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 205863
- Legal business name
- MENDON PEDIATRICS,PLLC
- Practice address
- 30 Assembly Drive
Suite 101
Mendon, NY 14506 - Phone
- (585) 624-4520
- Fax
- (585) 624-4829
- NPI assigned
- Aug 23, 2006
- 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
- Dr. Donna D. Meyer, M.D.
- Title
- Managing Physician
- Phone
- (585) 624-4520
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 205863 | NY | Primary |
Addresses
Primary practice location
30 Assembly Drive
Suite 101
Mendon, NY 14506
Mailing address
30 Assembly Drive
Suite 101
Mendon, NY 14506
Phone (585) 624-4520
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 |
|---|---|---|---|
| 33D0943331 | Mendon Pediatrics PLLC | Certificate of waiver | Mar 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
30 Assembly Dr
Ste 101
Mendon, NY 14506
Phone (585) 582-1330
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Nurse Practitioner
- Mendon, NY
- NPI 1023397775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902913502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ASSEMBLY DRIVE",
"address_2": "SUITE 101",
"city": "MENDON",
"state": "NY",
"postal_code": "14506",
"telephone_number": "585-624-4520",
"fax_number": "585-624-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ASSEMBLY DRIVE",
"address_2": "SUITE 101",
"city": "MENDON",
"state": "NY",
"postal_code": "14506",
"telephone_number": "585-624-4520",
"fax_number": "585-624-4829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDON PEDIATRICS,PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MEYER",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "MANAGING PHYSICIAN",
"authorized_official_telephone_number": "585-624-4520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "205863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.