CORY BROCIOUS (NPI# 1134519804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134519804 |
| Entity Type | Individual |
| Full Name | CORY BROCIOUS |
| Practice Address |
813 Fay Rd Syracuse NY 13219-3009 |
| Mailing Address |
127 Campbell Rd Mattydale NY 13211-1203 |
| Practice Telephone | 3157030810 |
| Practice Fax Number | 3157030814 |
| Mailing Telephone | 3157030810 |
| Mailing Fax Number | 3157030814 |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2015-02-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
813 FAY RD |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13219-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538110879 | Annie M Kelly | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2006-05-12 |
| 1942831177 | Emily Dipaola | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-27 |
| 1295375699 | Denise W Ambrose | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-14 |
| 1710527254 | Jesse L Peck | Physical Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2020-01-13 |
| 1578076071 | Anna Kathryn Rue | Physical Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-11-07 |
| 1699293076 | Shelbi Montanaro | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-09-06 |
| 1467973610 | Emily Block Treglia | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-28 |
| 1902334972 | Haley Marie Carey | Occupational Therapist | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-06-02 |
| 1932640810 | Katie Benz | Occupational Therapy Assistant | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-13 |
| 1073053385 | Theresa Stanton | Respiratory Therapist, Registered | 813 Fay Rd, Syracuse, NY 13219-3009 | 2017-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972155125 | Claire A Conroy | Registered Nurse | Westhill High School, 4501 Onondaga Blvd, Syracuse, NY 13219 | 2019-07-09 |
| 1699339242 | Gia Ruffini | Licensed Practical Nurse | 212 South Terry Rd., Syracuse, NY 13219 | 2019-04-30 |
| 1629549373 | Amy Elisabeth Steigerwald | Registered Nurse | 400 Walberta Rd., Syracuse, NY 13219 | 2018-12-06 |
| 1073007670 | Bryan D. O'neil | Optometrist | 4109 W Genesee St Ste 100, Syracuse, NY 13219 | 2018-06-18 |
| 1801279732 | Podiatry Services of Central New York, PC | Podiatrist | 4623 Onondaga Blvd., Syracuse, NY 13219 | 2015-07-09 |
| 1699118893 | Christine Anne Marshall | Licensed Practical Nurse | 1604 West High Terrace, Syracuse, NY 13219 | 2013-04-08 |
| 1447596515 | Mary Lou Karrat | Social Worker | 4336 Fay Road, Syracuse, NY 13219 | 2012-12-18 |
| 1801193636 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3439 W. Genesee St., Ste. 300, Syracuse, NY 13219 | 2011-02-14 |
| 1053616904 | Ranz Consulting Goup | Preferred Provider Organization | 104 Watchower Ln, Syracuse, NY 13219 | 2011-01-24 |
| 1003123480 | Lisa Marie Searles | Occupational Therapist | 110 Elmtree Lane, Syracuse, NY 13219 | 2010-09-08 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205493780 | Jedidiah Liguori Kissane | Case Manager/Care Coordinator | 421 Montgomery St Ste 1000a, Syracuse, NY 13202-2982 | 2019-05-21 |
| 1235492620 | Emily E Dancks | Case Manager/Care Coordinator | 302 Strathmore Dr, Syracuse, NY 13207-1552 | 2012-06-20 |
| 1871854158 | Katherine Mackey Smith | Case Manager/Care Coordinator | 140 Kensington Pl, Syracuse, NY 13210-3010 | 2012-06-04 |
| 1457612814 | Laura Stockin | Case Manager/Care Coordinator | 326 Onondaga Ter, Syracuse, NY 13207-1443 | 2012-06-01 |
| 1184984858 | Jessica Danielle Spencer | Case Manager/Care Coordinator | 304 Meadow Rd, Syracuse, NY 13219-2308 | 2012-05-29 |
| 1245590157 | Timothy John Alberts | Case Manager/Care Coordinator | 111 Chaumont Dr, Syracuse, NY 13209-2230 | 2012-05-24 |
| 1629338652 | Marci Gondek | Case Manager/Care Coordinator | 681 E Seneca Tpke, Apt A24, Syracuse, NY 13205-2616 | 2012-05-23 |
| 1841550324 | Joann Maria Manfredi | Case Manager/Care Coordinator | 501 E Fayette St Ste 2, Syracuse, NY 13202-1953 | 2012-05-18 |
| 1205195906 | Amy Pilacky | Case Manager/Care Coordinator | 501 E Fayette St Ste B, Syracuse, NY 13202-1953 | 2012-05-15 |
| 1780838177 | Deborah Yvonne Bull | Case Manager/Care Coordinator | 501 E Fayette St, Syracuse, NY 13202-1953 | 2008-11-11 |
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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.