NPIMap

Organization Active NPI

Nysarc, Inc. Fulton County Chapter

Doing business as Lexington Center

  • Early Intervention Provider Agency
  • Johnstown, NY
National Provider Identifier
1053616102
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
10920 Issued in NY
Legal business name
NYSARC, INC. FULTON COUNTY CHAPTER
Doing business as
Lexington Center
Practice address
465 N. Perry St.
Johnstown, NY 12095
Phone
(518) 762-0024
Fax
(518) 762-3533
NPI assigned
Jan 21, 2011
Last updated
Mar 7, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
NYSARC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mr. John T. Kuznia
Title
Cfo
Phone
(518) 775-5412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 10920 NY Primary

Addresses

Primary practice location

465 N. Perry St.
Johnstown, NY 12095

Mailing address

127 E. State St.
Gloversville, NY 12078
Phone (518) 773-7931

Other identifiers 1

IdentifierTypeStateIssuer
01556321MedicaidNY

Other names 1

  • Lexington Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lexington Center10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1295568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1053616102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E. STATE ST.",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "12078",
            "telephone_number": "518-773-7931",
            "fax_number": "518-725-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 N. PERRY ST.",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "12095",
            "telephone_number": "518-762-0024",
            "fax_number": "518-762-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC, INC. FULTON COUNTY CHAPTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYSARC, INC.",
        "enumeration_date": "2011-01-21",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "KUZNIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-775-5412",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "10920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01556321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.