NPIMap

Organization Active NPI

Onondaga Case Management Services Inc.

Doing business as Circare

  • Rehabilitation Clinic/Center
  • Syracuse, NY
National Provider Identifier
1538657259
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ONONDAGA CASE MANAGEMENT SERVICES INC.
Doing business as
Circare
Practice address
620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463
Phone
(315) 472-7363
NPI assigned
Apr 27, 2018
Organization subpart
Yes
Parent organization
ONONDAGA CASE MANAGEMENT SERVIUCES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Authorized official

Name
Scott Ebner
Title
Executive Director
Phone
(315) 472-7363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463

Mailing address

620 Erie Blvd W Ste 302
Syracuse, NY 13204-2463
Phone (315) 472-7363

Other identifiers 1

IdentifierTypeStateIssuer
02382218MedicaidNY

Other names 1

  • Circare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Onondaga Case Management Services Inc5 organizations share this tax ID, including this one
Part of
Onondaga Case Management Services Inc

Other organizations with this tax ID 4

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

Locations

620 Erie Blvd W
Ste 302
Syracuse, NY 13204
Phone (315) 472-7363

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1538657259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042463",
            "telephone_number": "315-472-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 ERIE BLVD W STE 302",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042463",
            "telephone_number": "315-472-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONONDAGA CASE MANAGEMENT SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONONDAGA CASE MANAGEMENT SERVIUCES INC.",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "EBNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-472-7363"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02382218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Circare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2018; 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.