NPIMap

Organization Active NPI

Planned Parenthood of the North Country New York, Inc.

  • Ambulatory Family Planning Facility
  • Watertown, NY
National Provider Identifier
1407907215
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
Legal business name
PLANNED PARENTHOOD OF THE NORTH COUNTRY NEW YORK, INC.
Practice address
160 Stone St
Watertown, NY 13601-3250
Phone
(315) 788-8065
Fax
(315) 222-7432
NPI assigned
Jan 16, 2007
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Mr. Christian Oleck
Title
Cfo
Phone
(585) 546-2771

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 2201201R NY
Ambulatory Family Planning Facility 261QA0005X 2201201R NY
Ambulatory Family Planning Facility 261QA0005X NU Primary

Addresses

Primary practice location

160 Stone St
Watertown, NY 13601-3250

Mailing address

160 Stone St
Watertown, NY 13601-3250
Phone (315) 788-8065

Other identifiers 2

IdentifierTypeStateIssuer
00583697MedicaidNY
01062844MedicaidNY

Other names 1

  • Planned Parenthood of Northern New York, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712001268 NY Part B Supplier - Clinic/Group Practice 3476531898 Receives reassigned benefits from 22 practitioners
Practice locations: Malone, NY; Watertown, NY; Saranac Lake, NY; Plattsburgh, NY; Ogdensburg, NY; Lowville, NY; Canton, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0167561Planned Parenthood of the North Country New160 Stone Street, Watertown, NY 13601Provider-performed microscopyMar 26, 2027

National Provider Directory

National Provider Directory

Locations

9 Miner St
Canton, NY 13617
Phone (315) 386-8821

7398 Turin Rd
Lowville, NY 13367
Phone (315) 804-6174

246 W Main St
Ste 1
Malone, NY 12953
Phone (518) 483-7150

419 Ford St
Ogdensburg, NY 13669
Phone (315) 393-0392

41 Saint Bernard St
Saranac Lake, NY 12983
Phone (518) 354-8335

160 Stone St
Watertown, NY 13601
Phone (315) 782-1818

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1407907215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 STONE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013250",
            "telephone_number": "315-788-8065",
            "fax_number": "315-222-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 STONE ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136013250",
            "telephone_number": "315-788-8065",
            "fax_number": "315-222-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF THE NORTH COUNTRY NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "OLECK",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "585-546-2771",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "2201201R",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NY",
            "license": "2201201R",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00583697",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01062844",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planned Parenthood of Northern New York, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Watertown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.