WESTERN NY DDSO JN ADAMS
NPI 1255569539
Clinic/Center - Developmental Disabilities in Ellington, NY

Active since June 25, 2009
ROUTE 62 RURAL DELIVERY #2, ELLINGTON, NY 14732(716) 287-3734 Get Directions Write a Review

NPPES record last updated: January 6, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Developmental Disabilities

About WESTERN NY DDSO JN ADAMS

This page provides the complete NPI Profile along with additional information for Western Ny Ddso Jn Adams, a provider established in Ellington, New York operating as a Clinic/center, focusing in developmental disabilities . The healthcare provider is registered in the NPI registry with number 1255569539 assigned on June 2009. The practitioner's primary taxonomy code is 261QD1600X with license number 00279700 (NY). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's other name is Western Ny Ddso Jn Adams. The authorized official of this NPI record is Earl Jefferson (Director Of Central Operations)

NPI
1255569539 Verify this NPI
Provider Legal Name
STATE OF NEW YORK COMPTROLLERS OFFICE
Other Organization Name
WESTERN NY DDSO JN ADAMS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
ROUTE 62 RURAL DELIVERY #2 ELLINGTON, NY 14732
Location Phone
(716) 287-3734
Mailing Address
44 HOLLAND AVE ALBANY, NY 12229
Mailing Phone
(518) 402-4333
Mailing Fax
(518) 473-1874
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-25-2009
Last Update Date
01-06-2016
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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.
00279700
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
J100173050MEDICARE PIN (08)NY 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255569539, enumerated as an "organization" on June 25, 2009.

The provider is located at ROUTE 62 RURAL DELIVERY #2 ELLINGTON, NY 14732 and the phone number is (716) 287-3734.

Clinic/Center with taxonomy code 261QD1600X and a focus in Developmental Disabilities.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.