NYSARC INC (NPI# 1821262759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821262759 |
| Entity Type | Organization |
| Organization Name | NYSARC INC |
| Other Organization Name | MONROE COUNTY CHAPTER DT SW |
| Practice Address |
2657 W Henrietta Rd Rochester NY 14623-2327 |
| Mailing Address |
1000 Elmwood Ave Suite 500 Rochester NY 14620-3042 |
| Practice Telephone | 5854247442 |
| Mailing Telephone | 5852710660 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | MS. BARBARA S WALE (COO) |
| Authorized Official Telephone | 5856722233 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
7014302 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00791424 | 05 |
| Other Name | Type Code |
|---|---|
| Monroe County Chapter DT SW | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740455211 | Nysarc Inc | Clinic/Center | 10 Ballantyne Rd, Rochester, NY 14623-1904 | 2008-04-25 |
| 1710152699 | Nysarc Inc | Clinic/Center | 1651 Lyell Ave, Rochester, NY 14606 | 2008-04-23 |
| 1457458424 | Nysarc Inc | Clinic/Center | 2060 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2792 | 2006-09-20 |
| 1205001138 | Nysarc Inc | Clinic/Center | 1387 Fairport Rd, Building 1100, Fairport, NY 14450-2003 | 2008-04-22 |
| Street Address |
2657 W HENRIETTA RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14623-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649644964 | Heather L Margeson | Occupational Therapist | 2657 W Henrietta Rd, Rochester, NY 14623-2327 | 2015-11-24 |
| 1104290790 | Erin Degroat | Physical Therapist | 2657 W Henrietta Rd, Rochester, NY 14623-2327 | 2015-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1932649522 | Annette F. Cranker | Registered Nurse | 100 Groton Parkway, Rochester, NY 14623 | 2017-03-01 |
| 1588049258 | Lisa Parnell | Nurse Practitioner | 200 East River Road, Rochester, NY 14623 | 2015-07-23 |
| 1811371610 | Deanna Phoenix | Pharmacist | Elm & Carlton Streets, Main Hospital, Roswell Park Cancer Institute, Buffalo, NY 14623 | 2015-07-13 |
| 1518340801 | Erin Wong | Counselor | 945 E. Henrietta Rd, Suite 7a, Rochester, NY 14623 | 2015-07-04 |
| 1427437490 | Sarah Beren | Counselor | 115 Metro Park, Rochester, NY 14623 | 2015-05-23 |
| 1346628930 | Bohdan Klymochko | Family Medicine | 1300 Jefferson Rd Ste 100, Rochester, NY 14623 | 2015-05-14 |
| 1306242763 | Rochester Institute of Technology | Psychiatric Unit | 1 Lomb Memorial Drive, Rochester, NY 14623 | 2014-11-13 |
| 1972904423 | Jonathan Bloom | Urology | 400 White Spruce Blvd Ste B, Rochester, NY 14623 | 2014-09-15 |
| Find all providers in zip 14623 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396195079 | State of New York Comptrollers Office | Clinic/Center | 40 Bermar St, Rochester, NY 14624 | 2016-06-14 |
| 1588014260 | State of New York Comptrollers Office | Clinic/Center | 2059 E Henrietta Rd, Rochester, NY 14623-3922 | 2016-06-14 |
| 1740455211 | Nysarc Inc | Clinic/Center | 10 Ballantyne Rd, Rochester, NY 14623-1904 | 2008-04-25 |
| 1710152699 | Nysarc Inc | Clinic/Center | 1651 Lyell Ave, Rochester, NY 14606 | 2008-04-23 |
| 1083748792 | Monroe Ddso Clinic University | Clinic/Center | 1050 University Ave, Rochester, NY 14607-1618 | 2007-03-15 |
| 1154460848 | State of New York | Clinic/Center | 220 Metro Park, Rochester, NY 14623-2612 | 2007-02-06 |
| 1265509491 | Rochester School of The Holy Childhood | Clinic/Center | 100 Groton Pkwy, Rochester, NY 14623-4540 | 2006-11-30 |
| 1457458424 | Nysarc Inc | Clinic/Center | 2060 Brighton Henrietta Town Line Rd, Rochester, NY 14623-2792 | 2006-09-20 |
| 1093272312 | Applied Behavioral Mental Health Counseling P.c | Clinic/Center | 510 Clinton Sq, Rochester, NY 14604-1700 | 2019-02-22 |
| 1205286986 | State of New York Comptrollers Office | Clinic/Center | 2300 Buffalo Rd, Rochester, NY 14624-1360 | 2016-06-14 |
| Find all providers in ROCHESTER | ||||
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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.