Active NPI
Child Health Associates of Madison Co. MD PC
- Pediatrics Physician
- Oneida, NY
National Provider Identifier
1528174133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01487883 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0166988 | Child Health Assoc of Madison Co MD PC | Certificate of waiver | Mar 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Syracuse, NY
- NPI 1447357058
-
- Pediatrics Physician
- Oneida, NY
- NPI 1811002629
-
- Pediatrics Physician
- Oneida, NY
- NPI 1457466252
-
- Family Nurse Practitioner
- Oneida, NY
- NPI 1902756687
-
- Pediatrics Physician
- Oneida, NY
- NPI 1013022805
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.