ST JOSEPH'S HOSPITAL HEALTH CENTER (NPI# 1063442192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063442192 |
| Entity Type | Organization |
| Organization Name | ST JOSEPH'S HOSPITAL HEALTH CENTER |
| Practice Address |
8136 Oswego Street Liverpool NY 13090 |
| Mailing Address |
301 Prospect Ave Syracuse NY 13203 |
| Practice Telephone | 3154485111 |
| Mailing Telephone | 3154485880 |
| Mailing Fax Number | 3154486161 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-11-04 |
| Authorized Official Name | MR. MICHAEL SHAFFER (VP OF FISCAL AFFAIRS) |
| Authorized Official Telephone | 3154485880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00315013 | 05 | |
| NY | 02995893 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417977745 | St Joseph's Hospital Health Center | Clinic/Center | 973 James Street, Syracuse, NY 13203 | 2006-07-20 |
| 1184654212 | St Joseph's Hospital Health Center | Clinic/Center | 4105 Medical Center Dr, Fayetteville, NY 13066-6636 | 2006-07-04 |
| 1265462386 | St Joseph's Hospital Health Center | Clinic/Center | 5101 West Genesee Street, Camillus, NY 13031 | 2006-07-04 |
| 1972872505 | St Joseph's Hospital Health Center | General Acute Care Hospital | 301 Prospect Avenue, Syracuse, NY 13203-1898 | 2011-12-28 |
| 1225357452 | St Joseph's Hospital Health Center | General Acute Care Hospital | 301 Prospect Ave, Inpatient Aku, Syracuse, NY 13203-1807 | 2010-05-27 |
| 1699832436 | St Joseph's Hospital Health Center | Family Medicine | 301 Prospect Ave, Employed Physician Group, Syracuse, NY 13203-1807 | 2007-01-02 |
| Street Address |
8136 OSWEGO STREET |
| City | LIVERPOOL |
| State | NY |
| Zip Code | 13090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214821 | Kerry Prunotto Dal | Dietitian, Registered | 8403 Sugar Pine Circle, Liverpool, NY 13090 | 2020-08-05 |
| 1619536596 | Victoria Angela Didomenico | Licensed Practical Nurse | 4364 Princess Path, Liverpool, NY 13090 | 2019-06-13 |
| 1063987386 | Alison Fasano | Massage Therapist | 4205 Long Branch Rd., Clay Chiropractic/athlonmt/ste.3, Liverpool, NY 13090 | 2018-10-13 |
| 1275028540 | Alexis Marie Degennaro | Speech-Language Pathologist | 7672 Mountain Ash, Liverpool, NY 13090 | 2018-06-28 |
| 1164891560 | Lyndsey Noel Martin | Nurse Practitioner | 7953 Orion Path, Liverpool, NY 13090 | 2015-09-16 |
| 1326423765 | Mary Beth Witte | Occupational Therapist | 3774 State Route 31, Apt 1508, Liverpool, NY 13090 | 2015-07-28 |
| 1801274808 | Heather C Eldredge | Contractor | 104 Eagles Pointe Circle, Liverpool, NY 13090 | 2015-05-11 |
| 1881084861 | Brian Tarolli | Massage Therapist | 7960 Oswego Road, Liverpool, NY 13090 | 2015-01-29 |
| 1164825469 | Tara Hilmanowski | Nurse Practitioner | 7375 Oswego Rd Ste 1, Liverpool, NY 13090 | 2014-09-30 |
| 1609280452 | Samantha Whittemore | Registered Nurse | 7815 Anadale Lane, Liverpool, NY 13090 | 2014-06-19 |
| Find all providers in zip 13090 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972740371 | Sjls, LLC | Clinic/Center | 8302 Provo Dr, Liverpool, NY 13090-4112 | 2009-01-07 |
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| 1952908386 | Ulster Dialysis, LLC | Clinic/Center | 900 Miron Ln, Kingston, NY 12401-1567 | 2020-10-08 |
| 1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
| 1043839269 | Knickerbocker Dialysis Inc | Clinic/Center | 5518 Avenue N, Brooklyn, NY 11234-4006 | 2020-04-09 |
| 1942839378 | Knickerbocker Dialysis Inc | Clinic/Center | 479 E Main St, Patchogue, NY 11772-3147 | 2020-04-07 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1205461639 | Knickerbocker Dialysis Inc | Clinic/Center | 1277 Middle Country Rd, Middle Island, NY 11953 | 2020-03-05 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1629617576 | Knickerbocker Dialysis Inc | Clinic/Center | 1633 Route 202 Ste 120, Pomona, NY 10970-2926 | 2019-12-24 |
| 1740824184 | Knickerbocker Dialysis Inc | Clinic/Center | 11 Romaine Ave, Yonkers, NY 10705 | 2019-10-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.