NPIMap

Organization Active NPI

Newark Wayne Community Hospital-Lab

  • Clinical Medical Laboratory
  • Newark, NY
National Provider Identifier
1801089495
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEWARK WAYNE COMMUNITY HOSPITAL-LAB
Practice address
1200 Driving Park Ave
Newark, NY 14513-1057
Phone
(315) 332-2022
NPI assigned
Aug 27, 2007
Organization subpart
Yes
Parent organization
NEWARK WAYNE COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Paula Tinch
Title
SVP-Finance
Phone
(585) 922-1223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1200 Driving Park Ave
Newark, NY 14513-1057

Mailing address

1200 Driving Park Ave
Newark, NY 14513-1057
Phone (315) 332-2022

Other identifiers 2

IdentifierTypeStateIssuer
11SOtherNYEXCELLUS-BCR
P013002611OtherNYEXCELLUS-BCH

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
33D0172111Newark-Wayne Hospital Laboratory1200 Driving Park Avenue, Newark, NY 14513ComplianceMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Newark Wayne Comm Hosp7 organizations share this tax ID, including this one
Part of
Newark Wayne Comm Hosp

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1801089495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-332-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 DRIVING PARK AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145131057",
            "telephone_number": "315-332-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK WAYNE COMMUNITY HOSPITAL-LAB",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWARK WAYNE COMMUNITY HOSPITAL",
        "enumeration_date": "2007-08-27",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "TINCH",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "SVP-FINANCE",
        "authorized_official_telephone_number": "585-922-1223"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS-BCR",
            "identifier": "11S",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS-BCH",
            "identifier": "P013002611",
            "state": "NY"
        }
    ],
    "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 Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.