Meals on Wheels of Western Broome, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

MEALS ON WHEELS OF WESTERN BROOME, INC.

Practice address

705 W Main St
Endicott, NY 13760-4521

Phone

(607) 754-7856

Fax

(607) 821-0868

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Susan J Jacobs

Title

Executive Director

Phone

(607) 754-7856

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1275903650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604521",
            "telephone_number": "607-754-7856",
            "fax_number": "607-821-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W MAIN ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137604521",
            "telephone_number": "607-754-7856",
            "fax_number": "607-821-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEALS ON WHEELS OF WESTERN BROOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-754-7856"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Griffin McIver
• Liza Jean McKenna, PA-C
• Melissa A McKnight
• Elizabeth McNamara, RN
• Priscilla McPherson
• Chariese Ann Medlar, DPT
• Phoebe Meier, LMSW
• Dominic V Micalizzi, LMSW
• Christina Mihalik-Kontogiannis, MT-BC
• Mindful Health & Wellness, LLC

• Voluntary or Charitable Agency in Endicott, NY
• Providers in Endicott, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.