NPIMap

Organization Active NPI

Waynearc

  • Voluntary or Charitable Agency
  • Newark, NY
National Provider Identifier
1427214279
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
WAYNEARC
Practice address
848 Peirson Ave
Newark, NY 14513-9762
Phone
(315) 331-2086
Fax
(315) 331-3215
NPI assigned
Jul 31, 2008
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Sage Walker
Title
LPN
Phone
(315) 331-2086

Specialties & licenses 1

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

Addresses

Primary practice location

848 Peirson Ave
Newark, NY 14513-9762

Mailing address

848 Peirson Ave
Newark, NY 14513-9762
Phone (315) 331-2086

National Provider Directory

National Provider Directory
Tax ID family
Roosevelt Childrens Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1427214279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 PEIRSON AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145139762",
            "telephone_number": "315-331-2086",
            "fax_number": "315-331-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 PEIRSON AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145139762",
            "telephone_number": "315-331-2086",
            "fax_number": "315-331-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNEARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "SAGE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "315-331-2086"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

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

Verify at the official NPI Registry.