FINGER LAKES DDSO - NEWARK
NPI 1013057892
Clinic/Center - Developmental Disabilities in Newark, NY

NPI Status: Active since February 08, 2007

Contact Information

703 E MAPLE AVE
TYMESON BLDG
NEWARK, NY
ZIP 14513
Phone: (315) 331-1700

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  • Organization
  • Clinic/Center
  • Developmental Disabilities

About FINGER LAKES DDSO - NEWARK

This page provides the complete NPI Profile along with additional information for Finger Lakes Ddso - Newark, a provider established in Newark, New York operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1013057892 assigned on February 2007. The practitioner's primary taxonomy code is 261QD1600X with license number 00272950 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's other name is Finger Lakes Ddso - Newark. The authorized official of this NPI record is Earl Jefferson (Director Of Central Operations)

NPI
1013057892
Provider Legal Name
STATE OF NEW YORK COMPTROLLERS OFFICE
Other Organization Name
FINGER LAKES DDSO - NEWARK
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
703 E MAPLE AVE TYMESON BLDG NEWARK, NY 14513
Location Phone
(315) 331-1700
Mailing Address
44 HOLLAND AVE ALBANY, NY 12229
Mailing Phone
(518) 402-4333
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-08-2007
Last Update Date
01-06-2016
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Developmental Disabilities

Taxonomy Code
261QD1600X
Type
Ambulatory Health Care Facilities
License No.
00272950
License State
NY
Taxonomy Description
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EARL JEFFERSON

Authorized Official Title
DIRECTOR OF CENTRAL OPERATIONS
Authorized Official Phone
(518) 402-4333

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
J100173053MEDICARE PIN (08)NY 
01433807MEDICAID (05)NY 

Reviews for FINGER LAKES DDSO - NEWARK

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013057892
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230514818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 5 + 1 + 4 + 8 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1013057892 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679670475MS. KRISTI A. SERGEANT OTR/L
Individual
Occupational Therapist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1336276062 SANDRA LYNN LUSS MA
Individual
Audiologist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1669509303 LISA SCOTT PT
Individual
Physical Therapist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1083744734DR. MERLYN PATRICIA BAULDIE DDS
Individual
Dentist703 E MAPLE AVE FLDDSO ARTICLE 16 CLINIC
NEWARK, NY 14513
(315) 331-1700
1457484446 JENNIFER MICHELLE TAYLOR PT
Individual
Physical Therapist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1023142692 MARYANN FACER
Individual
Dietitian, Registered703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1467586958 JILL S NOWAK OT
Individual
Occupational Therapist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1730203555 JOANNE C SPEIGHT RN
Individual
Nutritionist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1255455093 KAREN LEE VANDERBROOK
Individual
Dietitian, Registered703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1386761062 DONNA MARIE FAIRCHILD
Individual
Nutritionist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1841315272 MOLLY A LAPRADE
Individual
Dietitian, Registered703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1326172818 STEPHANIE M KNOBEL
Individual
Nutritionist703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1518091420STATE OF NEW YORK COMPTROLLERS OFFICE
Organization
Clinic/Center (Developmental Disabilities)703 E MAPLE AVE VIENNA BLDG
NEWARK, NY 14513
(315) 331-1700
1417310541 MICHELLE JEAN MCDONALD
Individual
Physical Therapy Assistant703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700
1043660509STATE OF NEW YORK COMPTROLLERS OFFICE
Organization
Clinic/Center (Developmental Disabilities)703 E MAPLE AVE VIENNA BLDG
NEWARK, NY 14513
(518) 402-4333
1154771616STATE OF NEW YORK COMPTROLLERS OFFICE
Organization
Clinic/Center (Developmental Disabilities)703 E MAPLE AVE TYMESON BLDG
NEWARK, NY 14513
(518) 402-4333
1417426818MRS. ELIZABETH HANNAH GREFRATH LMSW
Individual
Social Worker703 E MAPLE AVE
NEWARK, NY 14513
(585) 402-3904
1053438176MS. ANNE MARIE HABEEB OTR L
Individual
Occupational Therapist703 E MAPLE AVE
NEWARK, NY 14513
(800) 452-4256
1104878123DR. THOMAS G PAYYAPILLI M.D
Individual
Pediatrics703 E MAPLE AVE
NEWARK, NY 14513
(315) 331-1700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013057892, enumerated in the NPI registry as an "organization" on February 08, 2007

The provider is located at 703 E Maple Ave Tymeson Bldg Newark, Ny 14513 and the phone number is (315) 331-1700

This medical organization specializes in Clinic/Center with taxonomy code 261QD1600X with a focus in Developmental Disabilities

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 08, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.