Nysarc Inc Fulton County Chapter

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

NYSARC INC FULTON COUNTY CHAPTER

Practice address

465 N. Perry St.
Johnstown, NY 12095

Phone

(518) 762-0024

Fax

(518) 736-3916

NPI assigned

Nov 6, 2006

Organization subpart

No

Name

Mr. John T Kuznia

Title

Cfo

Phone

(518) 773-7931

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

• Regina Marie Breton, PT

  • Physical Medicine & Rehabilitation Physician
  • Amsterdam, NY
  • NPI 1982241030

  NY

  Medicare reassignment Care Compare group NPD
• Anne Catherine Campbell, RN, FNP

  • Family Nurse Practitioner
  • Gloversville, NY
  • NPI 1033375837

  NY

  Medicare reassignment Care Compare group NPD
• Rebecka Cox, MS, OTR/L

  • Occupational Therapist
  • Duanesburg, NY
  • NPI 1467094086

  NY

  Medicare reassignment Care Compare group NPD
• Jessica M Crannell, MPT

  • Physical Therapist
  • Herkimer, NY
  • NPI 1790834257

  NY

  Medicare reassignment Care Compare group NPD
• Emily Daley

  • Occupational Therapy Assistant
  • Johnstown, NY
  • NPI 1073340758

  NY

  Medicare reassignment Care Compare group NPD
• Lawrence Dana, PHD

  • Clinical Psychologist
  • Albany, NY
  • NPI 1790700847

  NY

  Medicare reassignment Care Compare group NPD
• Jacquelyn Hassfurter, NP-P

  • Psychiatric/Mental Health Nurse Practitioner
  • Cooperstown, NY
  • NPI 1518488295

  NY

  Medicare reassignment Care Compare group NPD
• Melissa J Jenks, PSY.D.

  • Clinical Psychologist
  • Johnstown, NY
  • NPI 1730599234

  NY

  Medicare reassignment Care Compare group NPD
• Sarah Patzwahl Keller, SLP

  • Speech-Language Pathologist
  • Schenectady, NY
  • NPI 1649743410

  NY

  Medicare reassignment Care Compare group NPD
• Nicole Lynn Krawczeski, PT

  • Physical Therapist
  • Gloversville, NY
  • NPI 1285817023

  NY

  Medicare reassignment Care Compare group NPD
• Pierre H Lataillade, MD

  • Pulmonary Disease Physician
  • Gloversville, NY
  • NPI 1801972120

  NY

  Medicare reassignment Care Compare group NPD
• Michele Meier

  • Psychiatric/Mental Health Nurse Practitioner
  • Schenectady, NY
  • NPI 1508872581

  NY

  Medicare reassignment Care Compare group NPD

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

• Lexington Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 22, 2013.

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1245309434",
    "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": "518-736-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC FULTON COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-05-22",
        "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": "518-773-7931",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "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"
        }
    ]
}

• Michele L Morris, RN
• Victoria Morrison, CCC-SLP
• Susan Renee Murray, LCSW
• Karie Nasser, MS, BS, AA
• Chanel Ninan, DPT
• Nysarc Inc, Fulton County Chapter
• Nysarc, Inc. Fulton County Chapter
• Carissa Anne O'Brien
• William Chester Oates, PT
• Ovundah Edwin Okene, MD

• All providers in Johnstown, NY
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.