NEWARK-WAYNE COMMUNITY HOSPITAL (NPI# 1093258873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093258873 |
| Entity Type | Organization |
| Organization Name | NEWARK-WAYNE COMMUNITY HOSPITAL |
| Practice Address |
1200 Driving Park Ave Newark NY 14513-1090 |
| Practice Telephone | 5854261234 |
| Practice Fax Number | 5852472797 |
| Mailing Telephone | 5854261234 |
| Mailing Fax Number | 5852472797 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2017-01-04 |
| Authorized Official Name | THOMAS CRILLY (CFO) |
| Authorized Official Telephone | 5859225497 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEWARK-WAYNE COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 33D0654949 | NY | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NEWARK-WAYNE COMMUNITY HOSPITAL | % Ru System, Inc 89 Genesee St, Rochester, New York 14611 |
| New York State Corporations | NEWARK-WAYNE COMMUNITY HOSPITAL FOUNDATION | President, 1200 Driving Park Avenue, Newark, Ny 14513 |
| Street Address |
1200 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741898 | Lawrence N. Chessin | Internal Medicine | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2005-06-21 |
| 1477162725 | Aidan Sullivan | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-23 |
| 1649898834 | Nicholas D Biermann | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2020-07-14 |
| 1780222604 | Erin Hart | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-12-11 |
| 1861030785 | Lauren Conaty | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-12-11 |
| 1255978540 | Andrea Lorene Ide | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-12-05 |
| 1326682618 | Thomas William Jackson Mspt | Physical Therapist | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-10-30 |
| 1578113189 | Natalie A Davidson | Nurse Practitioner | 1200 Driving Park Ave, Newark, NY 14513 | 2019-09-16 |
| 1164076659 | Meritt F Rogers | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-08-01 |
| 1992366744 | Allison Marie Triou | Physician Assistant | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2019-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144757212 | Delaware Diagnostic Labs, LLC | Clinical Medical Laboratory | 1 Centurian Dr Ste 103, Newark, DE 19713-2137 | 2017-05-19 |
| 1023493608 | American Society of Thermalism and Climatology | Clinical Medical Laboratory | 180 S Orange Ave 1405, Newark, NJ 07103-2766 | 2015-07-24 |
| 1811326283 | Rutgers The State University of New Jersey | Clinical Medical Laboratory | 185 S. Orange Ave, Nj Medical School Msb F- 656, Newark, NJ 07103 | 2013-11-06 |
| 1720363476 | Cgc Genetics Inc. | Clinical Medical Laboratory | 211 Warren Street, Suite 317, Newark, NJ 07103 | 2011-10-13 |
| 1699066225 | Spring Spa Depot Corporation | Clinical Medical Laboratory | 123 Clifford St, Newark, NJ 07105-1950 | 2011-04-30 |
| 1780073478 | Spring Spa Depot Corporation | Clinical Medical Laboratory | 180 S Orange Ave Apt 1405, Newark, NJ 07103-2766 | 2015-01-18 |
| 1467793208 | Cgc Genetics Inc. | Clinical Medical Laboratory | 185 S Orange Ave, F661, Newark, NJ 07103-2757 | 2013-03-04 |
| 1114219680 | Tdm Pharmaceutical Research, LLC | Clinical Medical Laboratory | 100 Biddle Ave, Suite 202, Newark, DE 19702-3981 | 2011-05-03 |
| 1801089495 | Newark Wayne Community Hospital-lab | Clinical Medical Laboratory | 1200 Driving Park Ave, Newark, NY 14513-1057 | 2007-08-27 |
| 1083813745 | Rutgers University Diagnostic Services | Clinical Medical Laboratory | 110 Bergen St, Newark, NJ 07103-2495 | 2007-07-13 |
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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.