MONROE COUNTY CHAPTER DT FAIRPORT – NPI #1205001138
Clinic/Center

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.).

MONROE COUNTY CHAPTER DT FAIRPORT is an AHC clinic located in FAIRPORT, NY. NPPES has assigned the NPI number 1205001138 to MONROE COUNTY CHAPTER DT FAIRPORT on April 22, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MONROE COUNTY CHAPTER DT FAIRPORT” is a dba name, the actual legal business name for this organization is NYSARC INC. The primary taxonomy selected by this provider is 261QD1600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Developmental Disabilities

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONROE COUNTY CHAPTER DT FAIRPORT below.

NPI Profile for
NYSARC INC

NPI Number
1205001138
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NYSARC INC
Doing Business As (dba): MONROE COUNTY CHAPTER DT FAIRPORT
Primary location
1387 FAIRPORT RD
BUILDING 1100
FAIRPORT, NY 14450-2003
Phone: (585) 641-0304 Fax:
Mailing address
1000 ELMWOOD AVE
SUITE 500
ROCHESTER, NY 14620-3042
Phone: (585) 271-0660 Fax:
Organization Subpart
No
Authorized Official
BARBARA WALE
COO
Phone: (585) 672-2233
Updated
Identifiers

Identifiers for MONROE COUNTY CHAPTER DT FAIRPORT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY02287938
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD1600X
- Clinic/Center / Developmental Disabilities (Primary)
NY 7014305

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.