Organization Active NPI

Cny Family Nurse Practitioner - Home and Office Services PC

  • Family Nurse Practitioner
  • New Hartford, NY
National Provider Identifier
1609227149
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335542-1 Issued in NY
Legal business name
CNY FAMILY NURSE PRACTITIONER - HOME AND OFFICE SERVICES PC
Practice address
1 Mill St
New Hartford, NY 13413-2652
Phone
(315) 798-1260
Fax
(315) 798-1263
NPI assigned
Jun 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Julie A Tanoury, RN, BSN
Title
Administrator
Phone
(225) 678-9869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F335542-1 NY Primary

Addresses

Primary practice location

1 Mill St
New Hartford, NY 13413-2652

Mailing address

1 Mill St
New Hartford, NY 13413-2652
Phone (315) 798-1260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160816001512 NY Part B Supplier - Clinic/Group Practice 2860786746 Receives reassigned benefits from 2 practitioners
Practice locations: New Hartford, NY

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
33D2169905Cny Family Nurse Practitioner1 Mill Street, New Hartford, NY 13413Certificate of waiverJul 29, 2027

National Provider Directory

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": "1466985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1609227149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132652",
            "telephone_number": "315-798-1260",
            "fax_number": "315-798-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MILL ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132652",
            "telephone_number": "315-798-1260",
            "fax_number": "315-798-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY FAMILY NURSE PRACTITIONER - HOME AND OFFICE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-27",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "TANOURY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-678-9869",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335542-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.