NPIMap

Organization Active NPI

Newark Wayne Community Hospital

  • Skilled Nursing Facility
  • Newark, NY
National Provider Identifier
1851594774
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
582000HN Issued in NY
Legal business name
NEWARK WAYNE COMMUNITY HOSPITAL
Practice address
1200 Driving Park Ave
Newark, NY 14513-1057
Phone
(315) 322-2022
NPI assigned
Jun 7, 2007
Organization subpart
No

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
Skilled Nursing Facility 314000000X 582000HN NY Primary

Addresses

Primary practice location

1200 Driving Park Ave
Newark, NY 14513-1057

Mailing address

1200 Driving Park Ave
Newark, NY 14513-1057

Other identifiers 1

IdentifierTypeStateIssuer
01278702MedicaidNY

Other names 1

  • DeMay-Adult Day Care Doing business as

National Provider Directory

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

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1851594774",
    "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"
        },
        {
            "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": "315-322-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK WAYNE COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "582000HN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01278702",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeMay-Adult Day Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.