Newark Wayne Community Hospital

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

5820000H Issued in NY

Legal business name

NEWARK WAYNE COMMUNITY HOSPITAL

Doing business as

Newark Wayne Comm Hosp - Psych

Practice address

1200 Driving Park Ave
Newark, NY 14513-1057

Phone

(315) 332-2022

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Addresses

Other identifiers 6

Other names 1

• Newark Wayne Comm Hosp - Psych Doing business as

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1902989221",
    "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",
            "telephone_number": "315-332-2022"
        },
        {
            "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": "315-332-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK WAYNE COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "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": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "5820000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE INPATIENT PSY",
            "identifier": "0120026XY",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDCARE PSYCH",
            "identifier": "HO130P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW PSYCH",
            "identifier": "000900002001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354458",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD OUTPT PSYCH",
            "identifier": "97",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD INPATIENT PSY",
            "identifier": "XY",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newark Wayne Comm Hosp - Psych",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Newark Wayne Community Hospital (Wayne Health Care- DeMay Living Center)
• Newark Wayne Community Hospital
• Newark Wayne Community Hospital
• Newark Wayne Community Hospital (Wayne Health Care - Neuro)
• Newark Wayne Community Hospital (DeMay-Adult Day Care)
• Newark Wayne Community Hospital-Lab
• Newark-Arcadia Volunteer Ambulance, Inc.
• Newark-Wayne Community Hospital
• Newark-Wayne Urology PLLC
• Roxane Nicholson, PT

• Psychiatric Hospital Unit in Newark, NY
• Providers in Newark, NY by specialty
• Psychiatric Hospital Unit in New York

• 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.