Town of Massena

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

TOWN OF MASSENA

Doing business as

Massena Memorial Hospital

Practice address

One Hospital Drive
Massena, NY 13662

Phone

(315) 769-4200

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Robert Wolleben

Title

Ceo

Phone

(315) 769-4200

Specialties & licenses 1

Addresses

Other names 1

• Massena Memorial Hospital Doing business as

Locations

Practitioners 1

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

• Vijay Kumar S Mandalaywala, M.D.

  • Surgery Physician
  • Massena, NY
  • NPI 1265501571
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1871659391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DRIVE",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "13662",
            "telephone_number": "315-769-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOSPITAL DRIVE",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "13662",
            "telephone_number": "315-769-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MASSENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "WOLLEBEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-769-4200",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Massena Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Krystal L Thompson, MD
• Michael Charles Thompson, PT
• David Eugene Tisdale, R-PCA
• Laura Ruth Todd, LCSW
• Town of Massena
• Tri-Lakes Home Medical Equipment, Inc.
• Alanna Laurel Tyo
• Carrie Rose Tyo, SLP
• Dominique Valancius
• Vanacker Chiropractic, PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Massena, NY
• Providers in Massena, NY by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.