Organization Active NPI

Central New York Services.Inc.

  • Multi-Specialty Clinic/Center
  • Syracuse, NY
National Provider Identifier
1508898321
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
071111291 Issued in NY
Legal business name
CENTRAL NEW YORK SERVICES.INC.
Practice address
375 W Onondaga St
Suite 23
Syracuse, NY 13202-3280
Phone
(315) 478-0610
Fax
(315) 478-2510
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Mr. John J Warren, M.S.ED.
Title
Executive Director
Phone
(315) 478-2453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 071111291 NY Primary

Addresses

Primary practice location

375 W Onondaga St
Suite 23
Syracuse, NY 13202-3280

Mailing address

518 James St
Suite 240
Syracuse, NY 13203-2238
Phone (315) 478-2453

Other identifiers 1

IdentifierTypeStateIssuer
01437365MedicaidNY

National Provider Directory

National Provider Directory

Locations

375 W Onondaga St
Ste 23
Syracuse, NY 13202
Phone (315) 478-0610

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1508898321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 JAMES ST",
            "address_2": "SUITE 240",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032238",
            "telephone_number": "315-478-2453",
            "fax_number": "315-425-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 W ONONDAGA ST",
            "address_2": "SUITE 23",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023280",
            "telephone_number": "315-478-0610",
            "fax_number": "315-478-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK SERVICES.INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-478-2453",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.ED."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "071111291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01437365",
            "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 Sep 12, 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.