Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Portland Pediatric Group, LLP

Organization Pediatrics Physician · NPI 1174745285

Portland Pediatric Group, LLP is a Pediatrics Physician in Rochester, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
LLP — Limited liability partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1700 Hudson Ave
Rochester, NY 14617-5104
Phone: (585) 342-5694
Fax: (585) 342-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 207792 (NY)

Record details

NPI number1174745285
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roderick Davis — President · (585) 342-5694
NPI enumeratedMay 2, 2007
Last updated in NPPESAugust 31, 2012
Mailing address1700 Hudson Ave, Rochester, NY 14617-5104

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