MENORAH PARK GROUP RESIDENTS – NPI #1689815805
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.).
MENORAH PARK GROUP RESIDENTS is an AHC clinic located in DEWITT, NY. NPPES has assigned the NPI number 1689815805 to MENORAH PARK GROUP RESIDENTS on March 18, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 MENORAH PARK GROUP RESIDENTS below.
NPI Profile for
MENORAH PARK GROUP RESIDENTS
(more than 17 years ago)
DEWITT, NY 13066 Phone: (315) 446-9111 Fax:
FAYETTEVILLE, NY 13066-1619 Phone: (315) 446-9111 Fax:
OFFICE
Phone: (315) 446-9111
Identifiers for MENORAH PARK GROUP RESIDENTS
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | NY | 03035921 |
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 | SPV46480 |
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.