NPIMap

Organization Active NPI

Schuyler County

Doing business as Schuyler County Public Health

  • Public Health or Welfare Agency
  • Watkins Glen, NY
National Provider Identifier
1356389225
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SCHUYLER COUNTY
Doing business as
Schuyler County Public Health
Practice address
106 S Perry St
Watkins Glen, NY 14891-1615
Phone
(607) 535-8140
Fax
(607) 535-8157
NPI assigned
Jun 3, 2006
Last updated
Aug 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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

Authorized official

Name
Ms. Marcia O Kasprzyk, RNNPI 1083850390
Title
Director
Phone
(607) 535-8140

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

106 S Perry St
Watkins Glen, NY 14891-1615

Mailing address

106 S Perry St
Watkins Glen, NY 14891-1615
Phone (607) 535-8140

Other identifiers 1

IdentifierTypeStateIssuer
4821600OtherNYOPERATING CERTIFICATE #

Other names 1

  • Schuyler County Public Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061201000143 NY Part B Supplier - Mass Immunization (Roster Biller Only) 8527970177 Practice locations: Watkins Glen, NY

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

106 S Perry St
Watkins Glen, NY 14891
Phone (607) 535-8140

106 S Perry St
Ste 5
Watkins Glen, NY 14891
Phone (607) 535-8140

Practitioners & affiliated clinicians

Practitioners 1

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": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1356389225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911615",
            "telephone_number": "607-535-8140",
            "fax_number": "607-535-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S PERRY ST",
            "city": "WATKINS GLEN",
            "state": "NY",
            "postal_code": "148911615",
            "telephone_number": "607-535-8140",
            "fax_number": "607-535-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHUYLER COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "KASPRZYK",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "607-535-8140",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE #",
            "identifier": "4821600",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schuyler County Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkins Glen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.