Nysarc Inc

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

7014300 Issued in NY

Legal business name

NYSARC INC

Doing business as

Monroe County Chapter DT Bally

Practice address

10 Ballantyne Rd
Rochester, NY 14623-1904

Phone

(585) 328-7340

NPI assigned

Apr 25, 2008

Last updated

Apr 25, 2008By 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

Ms. Barbara S Wale

Title

Coo

Phone

(585) 672-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Monroe County Chapter DT Bally Doing business as

Tax ID family

Monroe County Chapter5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Nysarc Inc

  dba Monroe County Chapter DT Fairport

  • Developmental Disabilities Clinic/Center
  • Fairport, NY
  • NPI 1205001138
  NPD tax ID
• Nysarc Inc

  dba Monroe County Chapter

  • Developmental Disabilities Clinic/Center
  • Rochester, NY
  • NPI 1457458424
  NPD tax ID
• Nysarc Inc

  dba Monroe County Chapter DT Daylite

  • Developmental Disabilities Clinic/Center
  • Rochester, NY
  • NPI 1710152699
  NPD tax ID
• Nysarc Inc

  dba Monroe County Chapter DT SW

  • Developmental Disabilities Clinic/Center
  • Rochester, NY
  • NPI 1821262759
  NPD tax ID

Locations

Practitioners 2

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.

• Anthony John Delork, PT, DPT

  • Physical Therapist
  • Rochester, NY
  • NPI 1699146316
  NPD (past)
• Tibbany Ho, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Rochester, NY
  • NPI 1457725129
  NPD (past)

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1740455211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ELMWOOD AVE",
            "address_2": "SUITE 500",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203042",
            "telephone_number": "585-271-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BALLANTYNE RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231904",
            "telephone_number": "585-328-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "WALE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "585-672-2233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "7014300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Monroe County Chapter DT Bally",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilia Maria Nymander, DO
• Nys Office of Mental Health
• Nys Office of Mental Health
• Nysarc Inc (Monroe County Chapter)
• Nysarc Inc (Monroe County Chapter DT Daylite)
• Nysarc Inc (Monroe County Chapter DT SW)
• Nyumah LMFT LLC
• Pamela A O Connor, RPA C
• O Gregory Zazulak, MD, PC (finger lakes eye care)
• O.P.T Inc

• Developmental Disabilities Clinic/Center in Rochester, NY
• Providers in Rochester, NY by specialty
• Developmental Disabilities Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.