Organization Active NPI

Child Health Associates of Madison Co. MD PC

  • Pediatrics Physician
  • Oneida, NY
National Provider Identifier
1528174133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILD HEALTH ASSOCIATES OF MADISON CO. MD PC
Practice address
1145 Glenwood Ave
Oneida, NY 13421-7111
Phone
(315) 363-4070
Fax
(315) 363-8768
NPI assigned
Aug 23, 2006
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
Laurel Haley, LPN
Title
Office Manager
Phone
(315) 363-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1145 Glenwood Ave
Oneida, NY 13421-7111

Mailing address

1145 Glenwood Ave
Oneida, NY 13421-7111
Phone (315) 363-4070

Other identifiers 1

IdentifierTypeStateIssuer
01487883MedicaidNY

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
33D0166988Child Health Assoc of Madison Co MD PC1145 Glenwood Avenue, Oneida, NY 13421Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Locations

1145 Glenwood Ave
Oneida, NY 13421
Phone (315) 363-4070

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528174133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 GLENWOOD AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134217111",
            "telephone_number": "315-363-4070",
            "fax_number": "315-363-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 GLENWOOD AVE",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134217111",
            "telephone_number": "315-363-4070",
            "fax_number": "315-363-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD HEALTH ASSOCIATES OF MADISON CO. MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "315-363-4070",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487883",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, 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.