Active NPI
Auburn Community Hospital
- Cardiovascular Disease Physician
- Auburn, NY
National Provider Identifier
1962056408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- AUBURN COMMUNITY HOSPITAL
- Practice address
- 17 Lansing Street
Auburn, NY 13021 - Phone
- (315) 255-7011
- Fax
- (315) 255-7099
- NPI assigned
- Aug 1, 2019
- Organization subpart
- Yes
- Parent organization
- AUBURN COMMUNITY HOSPITAL
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000617 | NY | Part B Supplier - Clinic/Group Practice | 2365346525 |
Receives reassigned benefits from 300 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Auburn, NY |
National Provider Directory
National Provider Directory- Part of
- Auburn Memorial Hospital
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Lesch
- Title
- Cfo
- Phone
- (315) 255-7011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
17 Lansing Street
Auburn, NY 13021
Mailing address
17 Lansing Street
Auburn, NY 13021
Phone (315) 255-7011
Other names 1
- Auburn Cardiology Pulmonary Institute
NPI Registry JSON
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625011200000",
"number": "1962056408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 LANSING STREET",
"city": "AUBURN",
"state": "NY",
"postal_code": "13021",
"telephone_number": "315-255-7011",
"fax_number": "315-255-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 LANSING STREET",
"city": "AUBURN",
"state": "NY",
"postal_code": "13021",
"telephone_number": "315-255-7011",
"fax_number": "315-255-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUBURN COMMUNITY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AUBURN COMMUNITY HOSPITAL",
"enumeration_date": "2019-08-01",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A",
"authorized_official_last_name": "LESCH",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "315-255-7011"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Auburn Cardiology Pulmonary Institute",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Auburn Cardiology Pulmonary Institute",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.