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BROOME COUNTY
NPI 1427019629
Public Health or Welfare in Binghamton, NY

Active since March 29, 2006CLIA Certified · 3 labs
225 FRONT ST, BINGHAMTON, NY 13905(607) 778-2839(607) 778-2873 Get Directions Write a Review

NPPES record last updated: September 30, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Broome County NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOME COUNTY (NPI 1427019629) is a healthcare organization registered as a public health or welfare in Binghamton, New York and active in the NPI registry since March 2006. The organization holds 3 active CLIA laboratory certificates and lists Claudia A Edwards, Public Health Director, as its authorized official.

NPPES Registry Identity

NPI1427019629
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameBROOME COUNTY
Location Address225 FRONT STBinghamton, NY 13905-2424
Mailing Address225 Front StBinghamton, NY 13905-2424 · (607) 778-2839 · Fax (607) 778-2838
Phone(607) 778-2839
Fax(607) 778-2873
Organization SubpartNo
Authorized OfficialClaudia A EdwardsPublic Health Director · (607) 778-2802
Enumeration DateMarch 29, 2006
Last NPPES UpdateSeptember 30, 2014
✔ NPI 1427019629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
225 FRONT ST, Binghamton, NY 13905
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Other Identifiers 3

Medicare PIN55368BNY
Medicare PINAA0649NY
Medicaid03003927NY

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Broome County is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Broome County, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Jacqueline Kelchlin, FNP
Nurse Practitioner
NPI 1205239530
225 FRONT ST
Binghamton, NY 13905
(607) 778-2815
✔ PECOS✔ Accepts MedicareSame address
Andin Kovarik Roeber, FNP
Nurse Practitioner
NPI 1225338452
225 FRONT ST
Binghamton, NY 13905
(607) 778-3930
✔ PECOSSame address
Blenda Smith, FNP,PHD
Nurse Practitioner
NPI 1871737783
225 FRONT ST
Binghamton, NY 13905
(607) 778-2839
✔ PECOSSame address
Christopher Ryan, MD
Family Practice
NPI 1205824141
40 ARCH ST
Johnson City, NY 13790
(607) 763-6075
✔ PECOS2.2 mi
Zachary Jones, M.D.
Infectious Disease
NPI 1073956983
33-57 HARRISON ST
Johnson City, NY 13790
(607) 763-6622
✔ PECOS✔ Accepts Medicare2.2 mi
Vivek Vardhan Reddy Kandanati, M.D.
Infectious Disease
NPI 1760622971
33-57 HARRISON ST
Johnson City, NY 13790
(607) 763-6622
✔ PECOS✔ Accepts Medicare2.2 mi
Daniel Young, MD
Family Practice
NPI 1114913506
507 MAIN ST
Johnson City, NY 13790
(607) 763-6075
✔ PECOS✔ Accepts Medicare2.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 33D0991505

Broome County Health Department Clinics Laboratory · Binghamton, NY
Active · expires Mar 26, 2027
CLIA Number33D0991505
Laboratory TypeIndependent
Certificate Effective DateSeptember 21, 2001
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorRobin Eastman-Abaya MD
Laboratory Phone(607) 778-2839
Laboratory LocationBroome County Health Department Clinics Laboratory225 Front Street, Binghamton, NY 13905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 33D1019662

Broome County Health Department · Binghamton, NY
Active · expires Mar 26, 2027
CLIA Number33D1019662
Laboratory TypePublic Health Laboratories
Certificate Effective DateNovember 6, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Lazarus B. Gehring
Laboratory Phone(607) 778-2839
Laboratory LocationBroome County Health Department225 Front Street, Binghamton, NY 13905
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2148630

Broome County Correctional Facility · Binghamton, NY
Active · expires Mar 26, 2027
CLIA Number33D2148630
Laboratory TypePrison
Certificate Effective DateMay 15, 2018
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. David A. Hunsinger
Laboratory Phone(607) 778-6042
Laboratory LocationBroome County Correctional Facility115 Lt Van Winkle Drive, Binghamton, NY 13905
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broome County's NPI number?

The NPI number for Broome County is 1427019629. It was assigned to this organization in the NPPES registry on March 29, 2006.

Where is Broome County located?

Broome County is located at 225 Front St, Binghamton, NY 13905. The listed phone number is (607) 778-2839.

What is Broome County's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Is Broome County enrolled in Medicare?

Yes. Broome County is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Broome County?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Broome County. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Infectious Disease (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Broome County hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Broome County was last updated on September 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.