NPIMap

Organization Active NPI

Seneca Cayuga Counties Chapter Nysarc, Inc.

  • Voluntary or Charitable Agency
  • Auburn, NY
National Provider Identifier
1104970557
Registry record updated Jun 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
7141304 Issued in NY
Legal business name
SENECA CAYUGA COUNTIES CHAPTER NYSARC, INC.
Practice address
180 North St
Auburn, NY 13021
Phone
(315) 255-2285
Fax
(315) 255-3270
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2018

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

Authorized official

Name
Mr. Allen Connely
Title
Executive Director
Phone
(315) 856-8124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 7141304 NY Primary

Addresses

Primary practice location

180 North St
Auburn, NY 13021

Mailing address

1083 Waterloo Geneva Rd
Waterloo, NY 13165-1202
Phone (315) 539-5067

Other names 1

  • Seneca Cayuga ARC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070711000429 NY Part B Supplier - Clinic/Group Practice 3476653015 Receives reassigned benefits from 16 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Auburn, NY; Ithaca, NY; Waterloo, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Seneca Cayuga Arc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

180 North St
Auburn, NY 13021
Phone (315) 255-2285

1083 Waterloo Geneva Rd
Waterloo, NY 13165
Phone (315) 539-4049

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1104970557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083 WATERLOO GENEVA RD",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651202",
            "telephone_number": "315-539-5067",
            "fax_number": "315-539-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NORTH ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-255-2285",
            "fax_number": "315-255-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA CAYUGA COUNTIES CHAPTER NYSARC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "CONNELY",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-856-8124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "7141304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca Cayuga ARC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seneca Cayuga ARC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.