Coram Healthcare Corporation of New York

Primary specialty

Home Infusion Therapy PharmacyTaxonomy code 3336H0001X

License

17027989 Issued in NY

Legal business name

CORAM HEALTHCARE CORPORATION OF NEW YORK

Practice address

2949 Erie Blvd E
Suite 103
Syracuse, NY 13224-1442

Phone

(315) 425-8028

Fax

(315) 425-0989

NPI assigned

Oct 18, 2006

Organization subpart

Yes

Parent organization

CORAM HEALTHCARE CORPORATION OF NEW YORKAs reported in NPPES

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

Authorized official

Name

Vito Ponzio, Jr.

Title

Sr VP

Phone

(303) 672-8631

Specialties & licenses 8

Addresses

Other identifiers 3

Part of

Coram Healthcare Corpor

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750462479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 BROADWAY",
            "address_2": "SUITE 900",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802024675",
            "telephone_number": "303-672-8631",
            "fax_number": "303-298-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 ERIE BLVD E",
            "address_2": "SUITE 103",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241442",
            "telephone_number": "315-425-8028",
            "fax_number": "315-425-0989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAM HEALTHCARE CORPORATION OF NEW YORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CORAM HEALTHCARE CORPORATION OF NEW YORK",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PONZIO, JR.",
        "authorized_official_first_name": "VITO",
        "authorized_official_title_or_position": "SR VP",
        "authorized_official_telephone_number": "303-672-8631"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "9694L003",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NY",
            "license": "9694L003",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NY",
            "license": "N/A",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NY",
            "license": "17027989",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "17027989",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "17027989",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "NY",
            "license": "17027989",
            "primary": true
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "NY",
            "license": "17027989",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "9694L003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RX LICENSE",
            "identifier": "17027989",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3305011",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Copeland, RPH
• John Thomas Copeland, PHARM D
• Lynn Copeland
• Emily Coppeta
• Joanne L Coppola, FNP
• Bridget Amelia Corapi, PA-C
• Keren Corbacho Gainza, OTR/L
• Katherine S Corbett
• Margaret Suzanne Corbett, REGISTERED NURSE
• Samantha Corbin, LPN

• Home Infusion Therapy Pharmacy in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Home Infusion Therapy Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.