NPIMap

Organization Active NPI

Nysarc Inc

Doing business as Monroe County Chapter

  • Developmental Disabilities Clinic/Center
  • Rochester, NY
National Provider Identifier
1457458424
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
NYSARC INC
Doing business as
Monroe County Chapter
Practice address
2060 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2792
Phone
(585) 271-0660
Fax
(585) 271-7950
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Authorized official

Name
Ms. Barbara S Wale
Title
Coo
Phone
(585) 672-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2060 Brighton Henrietta Town Line Rd
Rochester, NY 14623-2792

Mailing address

PO Box 23438
Rochester, NY 14692-3438
Phone (585) 271-0660

Other identifiers 1

IdentifierTypeStateIssuer
9QXMedicaidNY

Other names 1

  • MONROE COUNTY CHAPTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000071 NY Part B Supplier - Clinic/Group Practice 4486749751 Receives reassigned benefits from 13 practitioners
Practice locations: Rochester, NY

National Provider Directory

National Provider Directory
Tax ID family
Monroe County Chapter5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

  • Nysarc Inc

    dba Monroe County Chapter DT Fairport

    • Developmental Disabilities Clinic/Center
    • Fairport, NY
    • NPI 1205001138
    NPD tax ID
  • Nysarc Inc

    dba Monroe County Chapter DT Daylite

    • Developmental Disabilities Clinic/Center
    • Rochester, NY
    • NPI 1710152699
    NPD tax ID
  • Nysarc Inc

    dba Monroe County Chapter DT Bally

    • Developmental Disabilities Clinic/Center
    • Rochester, NY
    • NPI 1740455211
    NPD tax ID
  • Nysarc Inc

    dba Monroe County Chapter DT SW

    • Developmental Disabilities Clinic/Center
    • Rochester, NY
    • NPI 1821262759
    NPD tax ID

Locations

2060 Brighton Henrietta Town Line Rd
Rochester, NY 14623
Phone (585) 271-0660

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1457458424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23438",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146923438",
            "telephone_number": "585-271-0660",
            "fax_number": "585-271-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 BRIGHTON HENRIETTA TOWN LINE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146232792",
            "telephone_number": "585-271-0660",
            "fax_number": "585-271-7950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "WALE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "585-672-2233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9QX",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MONROE COUNTY CHAPTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 8, 2010; 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.