Organization Active NPI

Nys Opwdd

  • Registered Nurse
  • Corinth, NY
National Provider Identifier
1053880906
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
NYS OPWDD
Practice address
200 Smith Drive
Corinth, NY 12822
Phone
(518) 654-7680
Fax
(518) 654-7695
NPI assigned
Nov 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Dr. Paul Joseph Byron, MD/DO
Title
Clinic Director
Phone
(518) 788-2693

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

200 Smith Drive
Corinth, NY 12822

Mailing address

200 Smith Drive
Corinth, NY 12822
Phone (518) 654-7680

National Provider Directory

National Provider Directory
Tax ID family
Daniel a Spengler269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

200 Smith Dr
Corinth, NY 12822
Phone (518) 654-7680

Ownership & related parties

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1053880906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SMITH DRIVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "12822",
            "telephone_number": "518-654-7680",
            "fax_number": "518-654-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SMITH DRIVE",
            "city": "CORINTH",
            "state": "NY",
            "postal_code": "12822",
            "telephone_number": "518-654-7680",
            "fax_number": "518-654-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS OPWDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-21",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "BYRON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "518-788-2693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD/DO"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; 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.