NPIMap

Organization Active NPI

Able 2 Enhancing Potential

  • Multi-Specialty Clinic/Center
  • Elmira, NY
National Provider Identifier
1841308392
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
0701202R Issued in NY
Legal business name
ABLE 2 ENHANCING POTENTIAL
Practice address
1118 Charles Street
Elmira, NY 14902-1554
Phone
(607) 734-7107
Fax
(607) 734-7334
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Mr. Mark Stephen Peters
Title
Executive Director
Phone
(607) 734-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 0701202R NY Primary

Addresses

Primary practice location

1118 Charles Street
Elmira, NY 14902-1554

Mailing address

PO Box 1554
Elmira, NY 14902-1554
Phone (607) 734-7107

Other names 1

  • United Cerebral Palsy & Handicapped Children Assn of Chemung County Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060123000129 NY Part B Supplier - Clinic/Group Practice 2365466927 Receives reassigned benefits from 2 practitioners
Practice locations: Elmira, NY

National Provider Directory

National Provider Directory
Tax ID family
Cerebral Palsy Handicapped Childrens Assoc of Chemung Co Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1118 Charles St
Elmira, NY 14904
Phone (607) 734-7107

1118 Charles St
#H
Elmira, NY 14904
Phone (607) 734-7107

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1841308392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1554",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149021554",
            "telephone_number": "607-734-7107",
            "fax_number": "607-734-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 CHARLES STREET",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149021554",
            "telephone_number": "607-734-7107",
            "fax_number": "607-734-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABLE 2 ENHANCING POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "607-734-7101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NY",
            "license": "0701202R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Cerebral Palsy & Handicapped Children Assn of Chemung County",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.