CENTRAL NEW YORK DC, LLC
NPI 1932271251
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Syracuse, NY
- Organization
- Clinic/Center
- End-Stage Renal Disease (ESRD) Treatment
- CLIA Number: 33D0981167
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-26-2027
About CENTRAL NEW YORK DC, LLC
This page provides the complete NPI Profile along with additional information for Central New York Dc, Llc, a provider established in Syracuse, New York operating as a Clinic/center, focusing in end-stage renal disease (esrd) treatment . The healthcare provider is registered in the NPI registry with number 1932271251 assigned on November 2006. The practitioner's primary taxonomy code is 261QE0700X with license number 3301217R (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Herbert S Lawson (Cfo)
- NPI
- 1932271251 Verify this NPI
- Provider Name
- CENTRAL NEW YORK DC, LLC
- Entity Type
- Organization
- Location Address
- 910 ERIE BLVD E SYRACUSE, NY 13210
- Location Phone
- (315) 410-8040
- Location Fax
- (315) 410-8030
- Mailing Address
- 2100 CENTRAL AVE SUITE 201 BOULDER, CO 80301
- Mailing Phone
- (303) 785-7523
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-14-2006
- Last Update Date
- 11-03-2011
- Code Navigator
Location Map
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 End-Stage Renal Disease (ESRD) Treatment
- Taxonomy Code
- 261QE0700X
- Type
- Ambulatory Health Care Facilities
- License No.
- 3301217R
- License State
- NY
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.
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 |
|---|---|---|---|
| 02300801 | MEDICAID (05) | NY | |
| 97005 | OTHER (01) | NY | MVP PROVIDER NUMBER |
| 332615 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | MEDICARE PROVIDER NUMBER |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0981167
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- December 19, 2000
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. MATTHEW G. CHAFFIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Central New York Dc, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for CENTRAL NEW YORK DC, LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SYRACUSE, NY 13210
SYRACUSE, NY 13210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932271251, enumerated as an "organization" on November 14, 2006.
The provider is located at 910 ERIE BLVD E SYRACUSE, NY 13210 and the phone number is (315) 410-8040.
Clinic/Center with taxonomy code 261QE0700X and a focus in End-Stage Renal Disease (ESRD) Treatment.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
