NPIMap

Organization Active NPI

Finger Lakes Community Health

Doing business as Newark Community Health

  • Federally Qualified Health Center (FQHC)
  • Newark, NY
National Provider Identifier
1376882639
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FINGER LAKES COMMUNITY HEALTH
Doing business as
Newark Community Health
Practice address
513 W Union St
Newark, NY 14513-1365
Phone
(315) 573-5755
Fax
(315) 483-2451
NPI assigned
Feb 6, 2013
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
FINGER LAKES COMMUNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Mary Ann Zelazny
Title
Ceo
Phone
(315) 531-9102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

513 W Union St
Newark, NY 14513-1365

Mailing address

14 Maiden LN
PO Box 423
Penn Yan, NY 14527-1208
Phone (315) 531-9102

Other names 1

  • Newark Community Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051215000087 NY Part B Supplier - Clinic/Group Practice 0244251486 Receives reassigned benefits from 49 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Port Byron, NY; Sodus, NY; Penn Yan, NY; Ovid, NY; Newark, NY; Geneva, NY; Dundee, NY; Bath, NY
O20150924002809 NY Part A Provider - Federally Qualified Health Center (FQHC) 0244251486 Practice locations: Newark, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376882639. Details of each certification follow.

Federally qualified health center certification: CCN 331170

Legal name
FINGER LAKES COMMUNITY HEALTH
Doing business as
FINGER LAKES COMMUNITY HEALTH
Organization structure
CorporationNon-profit
Incorporated
Jan 26, 2000 in NY
Enrollment address
513W Union St
Newark, NY 14513-1365

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Finger Lakes Migrant Health7 organizations share this tax ID, including this one
Part of
Finger Lakes Migrant Health

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Phoebe R Baker Individual Corporate OfficerBoard Vice Chairperson Aug 1, 2014 100%
Mary Jo Dudley Individual Corporate OfficerBoard Member Jan 1, 2013 100%
Mary a Zelazny Individual Corporate OfficerChief Executive Officer Aug 31, 2006
Michele L Dahl Individual W-2 Managing EmployeeFinancial Administrator Jan 1, 2012 100%
Rosario Jaramillo Individual Corporate DirectorBoard Member Jul 18, 2013 100%
Anne E Slack Individual W-2 Managing EmployeeChief Financial Officer Jan 1, 2012 100%
Lawreen Duel Individual W-2 Managing EmployeeDirector of Operations Nov 1, 2011 100%
Susan K Loughnane Individual Corporate OfficerBoard Chairperson Aug 1, 2014 100%
Vickie J Swinehart Individual Corporate OfficerBoard Member Jun 1, 2007 100%
Linda D Fox Individual Corporate OfficerBoard Member Jul 1, 2008 100%

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1360108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1376882639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAIDEN LN",
            "address_2": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145271208",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 W UNION ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131365",
            "telephone_number": "315-573-5755",
            "fax_number": "315-483-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINGER LAKES COMMUNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FINGER LAKES COMMUNITY HEALTH",
        "enumeration_date": "2013-02-06",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "ZELAZNY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-531-9102"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, NY

Sources for this page

Verify at the official NPI Registry.