NPIMap

Organization Active NPI

Wayne Arc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Newark, NY
National Provider Identifier
1558703181
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
485547-1 Issued in NY
Legal business name
WAYNE ARC
Practice address
150 Van Buren St
Newark, NY 14513-1238
Phone
(315) 331-6482
Fax
(315) 331-6482
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Ms. Donna Ann Smith, RN BSN
Title
Registered Nurse
Phone
(315) 331-6482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 485547-1 NY Primary

Addresses

Primary practice location

150 Van Buren St
Newark, NY 14513-1238

Mailing address

150 Vanburen St
Newark, NY 14513
Phone (315) 331-6482

National Provider Directory

National Provider Directory
Tax ID family
Roosevelt Childrens Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1558703181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 VANBUREN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "14513",
            "telephone_number": "315-331-6482",
            "fax_number": "315-331-6482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 VAN BUREN ST",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131238",
            "telephone_number": "315-331-6482",
            "fax_number": "315-331-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE ARC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "315-331-6482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "485547-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.