Henrietta Pediatrics, PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HENRIETTA PEDIATRICS, PLLC

Practice address

1200 Jefferson Rd Ste 115
Rochester, NY 14623-3158

Phone

(585) 601-2600

Fax

(585) 229-6008

NPI assigned

Jun 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Emilie Ellicott, DONPI 1801110697

Title

Physician

Phone

(585) 451-7014

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emilie Ellicott, DO

  • Pediatrics Physician
  • Rochester, NY
  • NPI 1801110697
  NPD Authorized official

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1912576034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 LAWTON DR",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343266",
            "telephone_number": "585-451-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JEFFERSON RD STE 115",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146233158",
            "telephone_number": "585-601-2600",
            "fax_number": "585-229-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRIETTA PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "ELLICOTT",
        "authorized_official_first_name": "EMILIE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "585-451-7014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801110697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica J Henoch, MD
• Darlene Henri
• Henrietta Chiropractic PC
• Henrietta Family Dental, PLLC
• Henrietta Optical, Inc.
• Henry John James Ess IV DO PLLC (Rochester Integrated Medicine)
• Alison Henry
• April Mae Henry, MD
• Carneisha Henry, LMHC
• Craig Phillip Henry

• Pediatrics Physician in Rochester, NY
• Providers in Rochester, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.

Verify at the official NPI Registry.