NPIMap

Organization Active NPI

Arc of Onondaga

  • Early Intervention Provider Agency
  • Syracuse, NY
National Provider Identifier
1053566711
Registry record updated Nov 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
005393 Issued in NY
Legal business name
ARC OF ONONDAGA
Practice address
301 Valley Dr
Syracuse, NY 13207-2298
Phone
(315) 468-1632
NPI assigned
Nov 22, 2008
Last updated
Nov 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sue Prince
Title
Director
Phone
(315) 468-1632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 005393 NY Primary

Addresses

Primary practice location

301 Valley Dr
Syracuse, NY 13207-2298

Mailing address

301 Valley Dr
Syracuse, NY 13207-2298

National Provider Directory

National Provider Directory

Locations

301 Valley Dr
Syracuse, NY 13207
Phone (315) 468-1632

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227312000000",
    "number": "1053566711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 VALLEY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132072298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 VALLEY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132072298",
            "telephone_number": "315-468-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC OF ONONDAGA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-22",
        "last_updated": "2008-11-22",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "315-468-1632"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "005393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.