CHILDPRO OF WESTERN NEW YORK
NPI 1598974594
Specialist in Lackawanna, NY

NPI Status: Active since May 22, 2007

Contact Information

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218
Phone: (716) 822-4781
Fax: (716) 825-5765

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  • Organization
  • Specialist

About CHILDPRO OF WESTERN NEW YORK

This page provides the complete NPI Profile along with additional information for Childpro Of Western New York, a provider established in Lackawanna, New York operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1598974594 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X with license number 00589-1 (NY). The provider is registered as an organization and their NPI record was last updated 5 years ago. Childpro Of Western New York operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mrs. Mary Mai Iwanenko Otr (Ceo)

NPI
1598974594
Provider Name
CHILDPRO OF WESTERN NEW YORK
Entity Type
Organization
Location Address
1025 RIDGE RD LACKAWANNA, NY 14218
Location Phone
(716) 822-4781
Location Fax
(716) 825-5765
Mailing Address
1025 RIDGE RD LACKAWANNA, NY 14218
Mailing Phone
(716) 822-4781
Mailing Fax
(716) 825-5765
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2007
Last Update Date
08-22-2020
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
00589-1
License State
NY
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1174400000XOther Service Providers

Specialist

013462-1 (NY)
2174400000XOther Service Providers

Specialist

006796-1 (NY)
3174400000XOther Service Providers

Specialist

009342-1 (NY)
4174400000XOther Service Providers

Specialist

012804-1 (NY)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

MRS. MARY MAI IWANENKO OTR

Authorized Official Title
CEO
Authorized Official Phone
(716) 822-4781

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
0224468MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1598974594
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251881878518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 8 + 7 + 8 + 5 + 1 + 8 + 24 = 86
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 86 = 44

The NPI number 1598974594 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MRS. ROSANNE M SHEEHAN P.T.

Physical Therapist

(Pediatrics)

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. LINDSAY B MESSORE SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

LORI MALLORY OT

Occupational Therapist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

APRIL ROCKWOOD OT

Occupational Therapist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

JOCELYN M MASSARO PT, DPT

Physical Therapist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

AMANDA B BENZIN SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

EMILY CABAN SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

DEANNA C POLITO SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. MARY MAI IWANENKO MS, OTR/L, ATP, SI/C

Specialist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

JENNIFER VALINT SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. MARY ROBB SALAMONE LMSW

Social Worker

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. MELISSA ANN RUDICH SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. BETH ANN SHEEHY SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. MICHELLE M KEEN SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. PATRICIA ANN GOFFMAN CF-SLP, TSSLD

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

JAMIE LYNN FOLEY SLP

Speech-Language Pathologist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

LUIZA PODLESNY PT, MPT

Specialist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

CHRISTINE S CROWELY M.S, P.T.

Specialist

1025 RIDGE RD
BUFFALO, NY
ZIP 14218

(716) 822-4781

KEITH CHARLES FRAAS PT

Specialist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

MRS. KAREN JO GOLDWATER OT

Specialist

1025 RIDGE RD
LACKAWANNA, NY
ZIP 14218

(716) 822-4781

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598974594, enumerated as an "organization" on May 22, 2007.

The provider is located at 1025 RIDGE RD LACKAWANNA, NY 14218 and the phone number is (716) 822-4781.

Specialist with taxonomy code 174400000X.

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