Central New York DC, LLC

Primary specialty

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

License

3301217R Issued in NY

Legal business name

CENTRAL NEW YORK DC, LLC

Practice address

910 Erie Blvd E
Syracuse, NY 13210-1060

Phone

(315) 410-8040

Fax

(315) 410-8030

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Herbert S Lawson

Title

Cfo

Phone

(303) 785-7521

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Philip T Ondocin, M.D.

  • Nephrology Physician
  • Syracuse, NY
  • NPI 1902888506
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1932271251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE",
            "address_2": "SUITE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012838",
            "telephone_number": "303-785-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ERIE BLVD E",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101060",
            "telephone_number": "315-410-8040",
            "fax_number": "315-410-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL NEW YORK DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "303-785-7521"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NY",
            "license": "3301217R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PROVIDER NUMBER",
            "identifier": "97005",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02300801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John W Ceilly, PHYS THER ASST.
• Quinn Mahannah Ceilly
• Nurudin Cemer, D.O.
• Robert Cenname, PA
• Center for Orthotic and Prosthetic Care of North Carolina, Inc
• Central New York Infusion Services, LLC
• Central New York Medical Practice, PLLC
• Central New York Medical Products, Inc. (CNY Medical Products, Inc.)
• Central New York Research Corperation
• Central New York Retinal Associates PC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Syracuse, NY
• Providers in Syracuse, 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 Nov 3, 2011; 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.