Syracuse Model Neighborhood Facility, Inc

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

SYRACUSE MODEL NEIGHBORHOOD FACILITY, INC

Doing business as

Family Planning Service of OCHD
Family Planning Services of the Onondaga County Health Dept

Practice address

301 Slocum Ave
Syracuse, NY 13204-3223

Phone

(315) 435-3295

Fax

(315) 435-8242

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Samantha Nicole Schroeder

Title

Director of Financial Operations

Phone

(315) 435-3295

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Family Planning Service of OCHD Doing business as
• Family Planning Services of the Onondaga County Health Dept 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, and the practitioner matching its NPPES authorized official.

• Anna Marie Edwards, L.P.N.

  • Licensed Practical Nurse
  • Syracuse, NY
  • NPI 1457592537
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1871710038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W ONONDAGA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023210",
            "telephone_number": "315-435-3295",
            "fax_number": "315-435-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SLOCUM AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132043223",
            "telephone_number": "315-435-3295",
            "fax_number": "315-435-8242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 E Taft Rd",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132123729",
            "country_code": "US",
            "telephone_number": "315-435-3295",
            "fax_number": "315-435-8242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SYRACUSE MODEL NEIGHBORHOOD FACILITY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL OPERATIONS",
        "authorized_official_telephone_number": "315-435-3295"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00474199",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03003849",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Planning Service of OCHD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Planning Services of the Onondaga County Health Dept",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health or Welfare Agency in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Public Health or Welfare Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.