NPIMap

Organization Active NPI

The Resource Center

  • Internal Medicine Physician
  • Jamestown, NY
National Provider Identifier
1104958065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE RESOURCE CENTER
Practice address
890 E 2ND St
Jamestown, NY 14701-3824
Phone
(716) 661-1448
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Cesana
Title
Executive Director
Phone
(716) 661-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

890 E 2ND St
Jamestown, NY 14701-3824

Mailing address

880 E 2ND St
Jamestown, NY 14701-3824
Phone (716) 661-1583

Other identifiers 1

IdentifierTypeStateIssuer
00639487MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic and Trtmnt18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104958065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 E 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147013824",
            "telephone_number": "716-661-1583",
            "fax_number": "716-485-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 E 2ND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147013824",
            "telephone_number": "716-661-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CESANA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-661-1400"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00639487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.