NPIMap

Organization Active NPI

Nysarc, Inc., Cattaraugus County Chapter

  • Developmentally Disabled Services Day Training Agency
  • Olean, NY
National Provider Identifier
1124236005
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
6067300 Issued in NY
Legal business name
NYSARC, INC., CATTARAUGUS COUNTY CHAPTER
Practice address
1439 Buffalo St
Olean, NY 14760-1140
Phone
(716) 375-4747
Fax
(716) 375-4795
NPI assigned
May 21, 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
Melinda E Buckley
Title
Cfo
Phone
(716) 375-4747

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6067300 NY Primary

Addresses

Primary practice location

1439 Buffalo St
Olean, NY 14760-1140

Mailing address

1439 Buffalo St
Olean, NY 14760-1140
Phone (716) 375-4747

Other identifiers 1

IdentifierTypeStateIssuer
00744876MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Nysarc Inc Cattaraugus County Chapter5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124236005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1439 BUFFALO ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601140",
            "telephone_number": "716-375-4747",
            "fax_number": "716-375-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 BUFFALO ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601140",
            "telephone_number": "716-375-4747",
            "fax_number": "716-375-4795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC, INC., CATTARAUGUS COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "716-375-4747"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "6067300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00744876",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, 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.