Organization Active NPI

Nysarc Inc., Chemung County Chapter

  • Developmental Disabilities Clinic/Center
  • Elmira, NY
National Provider Identifier
1306901608
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
NYSARC INC., CHEMUNG COUNTY CHAPTER
Practice address
711 Sullivan St
Elmira, NY 14901-2322
Phone
(607) 734-6151
Fax
(607) 734-2943
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Michael T. Raniewicz
Title
Agency Controller
Phone
(607) 734-6151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

711 Sullivan St
Elmira, NY 14901-2322

Mailing address

711 Sullivan St
Elmira, NY 14901-2322
Phone (607) 734-6151

Other identifiers 1

IdentifierTypeStateIssuer
02857183MedicaidNY

National Provider Directory

National Provider Directory

Locations

1 Arc Way
Bath, NY 14810
Phone (607) 776-0325

1408 Lake St
Elmira, NY 14901

360 E 14th St
Elmira Heights, NY 14903

800 W Broad St
Horseheads, NY 14845
Phone (607) 442-4370

103 S Porter St
Watkins Glen, NY 14891

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1306901608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 SULLIVAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012322",
            "telephone_number": "607-734-6151",
            "fax_number": "607-734-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SULLIVAN ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149012322",
            "telephone_number": "607-734-6151",
            "fax_number": "607-734-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC., CHEMUNG COUNTY CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "RANIEWICZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "AGENCY CONTROLLER",
        "authorized_official_telephone_number": "607-734-6151"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02857183",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.