New York Medicaid

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

137288-1 Issued in NY

Legal business name

NEW YORK MEDICAID

Practice address

10 Fourth Ave
Auburn, NY 13021-5106

Phone

(315) 253-7629

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Susan ScarsellettaNPI 1487829164

Title

LPN

Phone

(315) 253-7629

Specialties & licenses 1

Addresses

Practitioners 1

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

• Susan Scarselletta

  • Licensed Practical Nurse
  • Auburn, NY
  • NPI 1487829164
  NPD (past) Authorized official

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1972786309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FOURTH AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "13021",
            "telephone_number": "315-253-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FOURTH AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130215106",
            "telephone_number": "315-253-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MEDICAID",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "SCARSELLETTA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "315-253-7629"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "137288-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicci Lee Nelson, FNP-C
• Stephanie M. Nelson, LCSW, MSW, ACSW
• Neelam Neupane, M.B.B.S.
• New Beginnings Home Care
• New Beginnings Home Care, Inc.
• Susan Newman, RN
• Kimberly Kahler Newton, AU.D., FAAA
• Mavis NG, D.D.S.
• Duc Thanh Nguyen, PA
• Nikhat Dental PC

• Nursing Care Agency in Auburn, NY
• Providers in Auburn, NY by specialty
• Nursing Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; 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.