Organization Active NPI

AIDS Community Resources, Inc

  • Case Management Agency
  • Syracuse, NY
National Provider Identifier
1477672798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AIDS COMMUNITY RESOURCES, INC
Practice address
627 W Genesee St
Syracuse, NY 13204-2341
Phone
(315) 475-2430
Fax
(315) 472-6515
NPI assigned
Mar 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Richard Priebe
Title
Deputy Executive Director
Phone
(315) 475-2430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

627 W Genesee St
Syracuse, NY 13204-2341

Mailing address

627 W Genesee St
Syracuse, NY 13204-2341
Phone (315) 475-2430

Other identifiers 1

IdentifierTypeStateIssuer
01272031MedicaidNY

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
33D1040512AIDS Community Resources Inc627 W Genesee Street, Syracuse, NY 13204Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

627 W Genesee St
Syracuse, NY 13204
Phone (315) 472-2430

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477672798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042341",
            "telephone_number": "315-475-2430",
            "fax_number": "315-472-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 W GENESEE ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042341",
            "telephone_number": "315-475-2430",
            "fax_number": "315-472-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIDS COMMUNITY RESOURCES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRIEBE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DEPUTY EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-475-2430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272031",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.