Organization Active NPI

St Josephs Neighborhood Center Inc

  • Voluntary or Charitable Agency
  • Rochester, NY
National Provider Identifier
1316496920
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
ST JOSEPHS NEIGHBORHOOD CENTER INC
Practice address
417 South Avenue
Rochester, NY 14620-1009
Phone
(585) 325-5260
Fax
(585) 325-6145
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dr. Christine Cecilia Wagner, PHD
Title
Executive Director
Phone
(585) 325-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

417 South Avenue
Rochester, NY 14620-1009

Mailing address

417 South Ave
Rochester, NY 14620-1009
Phone (585) 325-5260

National Provider Directory

National Provider Directory

Locations

417 South Ave
Rochester, NY 14620
Phone (585) 325-5260

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1316496920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 SOUTH AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201009",
            "telephone_number": "585-325-5260",
            "fax_number": "585-325-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SOUTH AVENUE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146201009",
            "telephone_number": "585-325-5260",
            "fax_number": "585-325-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS NEIGHBORHOOD CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "585-325-5260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.