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CEDARBROOK VILLAGE INCORPATION
NPI 1427294644
Assisted Living Facility in New Hartford, NY

Active since December 17, 2008CLIA 33D2168241 · Waiver
2050 TILDEN AVE, BOX 1000, NEW HARTFORD, NY 13413(315) 797-3114(315) 624-0474 Get Directions Write a Review

NPPES record last updated: December 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedarbrook Village Incorpation NPPES

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

CEDARBROOK VILLAGE INCORPATION (NPI 1427294644) is a healthcare organization registered as an assisted living facility in New Hartford, New York and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Melanie Marraffa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427294644
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCEDARBROOK VILLAGE INCORPATION
Location Address2050 TILDEN AVE, BOX 1000New Hartford, NY 13413-3613
Mailing Address2050 Tilden Ave, Box 1000New Hartford, NY 13413-3613 · (315) 797-3114 · Fax (315) 624-0474
Phone(315) 797-3114
Fax(315) 624-0474
Organization SubpartNo
Authorized OfficialMelanie MarraffaAdministrator · (315) 797-3114
Enumeration DateDecember 17, 2008
✔ NPI 1427294644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
2050 TILDEN AVE, New Hartford, NY 13413
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CLIA Laboratory Certificates CMS CLIA

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 Waiver 33D2168241

Cedarbrook Village Incorporated · New Hartford, NY
Active · expires Mar 26, 2027
CLIA Number33D2168241
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 25, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. John Pylman
Laboratory Phone(315) 737-2710
Laboratory LocationCedarbrook Village Incorporated101 Sitrin Lane, New Hartford, NY 13413
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. GLENDA V PENOYER RDH
Dental Hygienist
2050 TILDEN AVE, BOX 1000
NEW HARTFORD, NY 13413
Oneida County (315) 797-3114
MS. TRISTIN ROSADO HYGIENE
Dental Hygienist
2050 TILDEN AVE, BOX 1000
NEW HARTFORD, NY 13413
Oneida County (315) 797-3114
CATHLEEN VARNO RDH
Dental Hygienist
2050 TILDEN AVE, BOX 1000
NEW HARTFORD, NY 13413
Oneida County (315) 797-3114
MRS. COLLEEN KLEIN SUNDERLIN OTR
Occupational Therapist
2050 TILDEN AVE, BOX 1000
NEW HARTFORD, NY 13413
Oneida County (315) 797-3114
MS. NICOLE MARIE HEBERT PT
Physical Therapist
2050 TILDEN AVE, BOX 1000
NEW HARTFORD, NY 13413
Oneida County (315) 797-3114
JESSICA AREVALO RDH
Dental Hygienist
2050 TILDEN AVE
NEW HARTFORD, NY 13413
Oneida County (315) 737-2448
MRS. KELSEY FESS
Speech-Language Pathologist
2050 TILDEN AVE
NEW HARTFORD, NY 13413
Oneida County (315) 797-3114
HAVERGAL DOHERTY RDH
Dental Hygienist
2050 TILDEN AVE, BOX 1000
NEW HARTFORD, NY 13413
Oneida County (315) 797-3114

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 Cedarbrook Village Incorpation's NPI number?

The NPI number for Cedarbrook Village Incorpation is 1427294644. It was assigned to this organization in the NPPES registry on December 17, 2008.

Where is Cedarbrook Village Incorpation located?

Cedarbrook Village Incorpation is located at 2050 Tilden Ave Box 1000, New Hartford, NY 13413. The listed phone number is (315) 797-3114.

What is Cedarbrook Village Incorpation's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Cedarbrook Village Incorpation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2168241) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cedarbrook Village Incorpation was last updated on December 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.