Catholic Charities of Oswego County

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CATHOLIC CHARITIES OF OSWEGO COUNTY

Practice address

808 W Broadway
Fulton, NY 13069

Phone

(315) 598-3980

Fax

(315) 593-8440

NPI assigned

Aug 5, 2008

Last updated

Jun 14, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary-Margaret Pezzella-Pekow, LMSW

Title

Executive Director

Phone

(315) 598-3980

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1730345109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W BROADWAY",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691560",
            "telephone_number": "315-598-3980",
            "fax_number": "315-593-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W BROADWAY",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "13069",
            "telephone_number": "315-598-3980",
            "fax_number": "315-593-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF OSWEGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "PEZZELLA-PEKOW",
        "authorized_official_first_name": "MARY-MARGARET",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-598-3980",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03014808",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canalview Dental Associates DDS LLP
• Autumn Cardarelli, LMSW
• Jennifer Marie Carney, LDO
• Brittney Case, RN, LENS PRACTITIONE
• Marie E. Castillo-Alcasid, M.D.
• Skye Celi
• Sam Z Chaar, RPH
• Dorothy Champney, FNP
• Farzana Chaudhary, MD
• Chuyang Chen

• Case Management Agency in Fulton, NY
• Providers in Fulton, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.