MENORAH PARK GROUP RESIDENTS
NPI 1689815805
Clinic/Center - Developmental Disabilities in Dewitt, NY

Q: What is Menorah Park Group Residents's NPI number?

The NPI number for Menorah Park Group Residents is 1689815805. It was assigned to this organization in the NPPES registry on March 18, 2009.

Q: What is Menorah Park Group Residents's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Active since March 18, 2009

12 JAMAR DRIVE, DEWITT, NY 13066(315) 446-9111 Get Directions Write a Review

NPPES record last updated: March 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Menorah Park Group Residents NPPES

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

MENORAH PARK GROUP RESIDENTS (NPI 1689815805) is a healthcare organization registered as a developmental disabilities in Dewitt, New York and active in the NPI registry since March 2009. The organization lists Toni Cole, Office, as its authorized official.

NPPES Registry Identity

NPI1689815805

Entity TypeOrganization

Primary Taxonomy261QD1600X

Legal Business NameMENORAH PARK GROUP RESIDENTS

Location Address12 JAMAR DRIVEDewitt, NY 13066

Mailing Address12 Jamar DrFayetteville, NY 13066-1619 · (315) 446-9111

Phone(315) 446-9111

Organization SubpartNo

Authorized OfficialToni ColeOffice · (315) 446-9111

Enumeration DateMarch 18, 2009

✔ NPI 1689815805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities

Taxonomy Code261QD1600X

License✔ Licensed in NY · SPV46480

Definition

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.).

12 JAMAR DRIVE, Dewitt, NY 13066

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Other Identifiers 1

Medicaid03035921NY

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 Menorah Park Group Residents's NPI number?

The NPI number for Menorah Park Group Residents is 1689815805. It was assigned to this organization in the NPPES registry on March 18, 2009.

Where is Menorah Park Group Residents located?

Menorah Park Group Residents is located at 12 Jamar Drive, Dewitt, NY 13066. The listed phone number is (315) 446-9111.

What is Menorah Park Group Residents's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

When was this NPI record last updated?

The NPPES record for Menorah Park Group Residents was last updated on March 18, 2009. 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.