Organization Active NPI

Catholic Charities of Broome County

  • Voluntary or Charitable Agency
  • Binghamton, NY
National Provider Identifier
1811932783
Registry record updated Dec 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
CATHOLIC CHARITIES OF BROOME COUNTY
Practice address
232 Main St
Binghamton, NY 13905-2610
Phone
(607) 729-9166
NPI assigned
Jun 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2013

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

Authorized official

Name
Mrs. Lori A. Accardi, L.M.S.W.
Title
Executive Director
Phone
(607) 729-9166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

232 Main St
Binghamton, NY 13905-2610

Mailing address

232 Main St
Binghamton, NY 13905-2610
Phone (607) 729-9166

Other identifiers 1

IdentifierTypeStateIssuer
0180407040OtherNYBCBS GROUP ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040515000257 NY Part B Supplier - Clinic/Group Practice 8527058130 Receives reassigned benefits from 2 practitioners
Practice locations: Binghamton, NY

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities of Broome County4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

232 Main St
Binghamton, NY 13905
Phone (607) 729-9166

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": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1811932783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052610",
            "telephone_number": "607-729-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MAIN ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139052610",
            "telephone_number": "607-729-9166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF BROOME COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "ACCARDI",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-729-9166",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0180407040",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.