Organization Active NPI

Nysarc Inc Fulton County Chapter

Doing business as Lexington Center

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Johnstown, NY
National Provider Identifier
1245309434
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
NYSARC INC FULTON COUNTY CHAPTER
Doing business as
Lexington Center
Practice address
465 N. Perry St.
Johnstown, NY 12095
Phone
(518) 762-0024
Fax
(518) 736-3916
NPI assigned
Nov 6, 2006
Last updated
May 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mr. John T Kuznia
Title
Cfo
Phone
(518) 773-7931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

465 N. Perry St.
Johnstown, NY 12095

Mailing address

127 E State St.
Gloversville, NY 12078
Phone (518) 773-7931

Other names 1

  • Lexington Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060104000133 NY Part B Supplier - Clinic/Group Practice 5890717979 Receives reassigned benefits from 29 practitioners
Practice locations: Gloversville, NY; Guilderland, NY; Saint Johnsville, NY; Johnstown, NY

National Provider Directory

National Provider Directory

Locations

144 Harrison St
Gloversville, NY 12078
Phone (518) 736-3937

43 Harrison St
Gloversville, NY 12078
Phone (518) 736-3937

2301 Western Ave
Guilderland, NY 12084
Phone (518) 218-7310

83 Briggs St
Johnstown, NY 12095
Phone (518) 736-3937

405 Cty Highway 114
St Johnsville, NY 13452
Phone (518) 568-3102

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lexington Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnstown, NY

Sources for this page

  • 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.