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 provides Pediatrics Physician services 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 Not confirmed with CMS for 14 years — call before visiting
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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