Active NPI
Nysarc Inc., Chemung County Chapter
- Developmental Disabilities Clinic/Center
- Elmira, NY
National Provider Identifier
1306901608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02857183 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Psychiatry Physician
- Elmira, NY
- NPI 1700979572
-
- Physical Therapist
- Owego, NY
- NPI 1861698235
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.