WAYNE ARC (NPI# 1558703181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558703181 |
| Entity Type | Organization |
| Organization Name | WAYNE ARC |
| Practice Address |
150 Van Buren St Newark NY 14513-1238 |
| Mailing Address |
150 Vanburen St Newark NY 14513 |
| Practice Telephone | 3153316482 |
| Practice Fax Number | 3153316482 |
| Mailing Telephone | 3153316482 |
| Mailing Fax Number | 3153316482 |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2013-07-24 |
| Authorized Official Name | MS. DONNA ANN SMITH (REGISTERED NURSE) |
| Authorized Official Telephone | 3153316482 |
| Authorized Official Credential | RN BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 485547-1 | NY | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770881583 | Wayne Arc | Early Intervention Provider Agency | 848 Peirson Ave, Newark, NY 14513-9762 | 2011-03-02 |
| 1518262732 | Wayne Arc | Early Intervention Provider Agency | 848 Peirson Ave, Newark, NY 14513-9762 | 2011-01-19 |
| 1164666186 | Wayne Arc | Early Intervention Provider Agency | 848 Peirson Ave, Newark, NY 14513-9762 | 2009-04-21 |
| 1366681553 | Wayne Arc | Nursing Care | 848 Peirson Ave, Newark, NY 14513-9762 | 2009-02-11 |
| 1245486661 | Wayne Arc | Early Intervention Provider Agency | 848 Peirson Ave, Newark, NY 14513-9762 | 2008-08-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | WAYNE ARCHERY BOOSTER CLUB, INC. | 36 West Main Street Ste 500, Rochester, Ny 14614 |
| Street Address |
150 VAN BUREN ST |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821032715 | Thomas B Verme | Family Medicine | 150 Van Buren St, Newark, NY 14513-1238 | 2006-06-15 |
| 1316552227 | Kerry Ann Powderly | Physical Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2020-09-09 |
| 1114536919 | Emily Etta Drew | Occupational Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2020-07-28 |
| 1629553201 | Morgan Dunn | Physical Therapy Assistant | 150 Van Buren St, Newark, NY 14513-1238 | 2018-09-28 |
| 1235658246 | Meghan Willis | Case Manager/Care Coordinator | 150 Van Buren St, Newark, NY 14513-1238 | 2017-09-12 |
| 1720509334 | Shelby Lynne Bronson | Occupational Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2017-07-05 |
| 1497108252 | Amanda Sandelli | Occupational Therapist | 150 Van Buren St, Newark, NY 14513-1238 | 2016-07-18 |
| 1336504539 | April Kimball | Occupational Therapy Assistant | 150 Van Buren St, Newark, NY 14513-1238 | 2015-12-15 |
| 1053786400 | Ilean Ester Woods | Occupational Therapy Assistant | 150 Van Buren St, Newark, NY 14513-1238 | 2015-12-10 |
| 1780059105 | Victor Santasero | Social Worker | 150 Van Buren St, Newark, NY 14513-1238 | 2015-12-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639642903 | St. Therese Ministry and Sabbath School | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 19 Tillinghast St, Newark, NJ 07108-1718 | 2019-01-09 |
| 1346379484 | Rockwood | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 5502 Vicky Dr, Newark, DE 19702-8115 | 2007-03-05 |
| 1083743678 | Pioneer House | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 413 Salem Church Rd, Newark, DE 19702-1452 | 2007-03-02 |
| 1144509159 | Nikel S Myrick | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 784 Clinton Ave, Suite 3, Newark, NJ 07108-1045 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976211 | Carolyn Luguya | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 30 Waterside Plz Apt 27g, New York, NY 10010-2626 | 2020-03-11 |
| 1548701154 | Kerry Coons | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 481 Bradford Rd, Schenectady, NY 12304-3721 | 2017-03-15 |
| 1265970461 | Adults & Children W/learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 923 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2017-02-08 |
| 1891232179 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 470 Chester St, Brooklyn, NY 11212-5505 | 2017-01-25 |
| 1972049039 | Evelyn Douglin Center Spin | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 163 Riverdale Ave, Brooklyn, NY 11212-5579 | 2017-01-13 |
| 1962947846 | Family Residences and Essential Enterprise, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 80-45 Winchester Blvd Building #11, Family Residences and Essential Enterprises, Inc., Queens Village, NY 11427 | 2016-12-30 |
| 1508309857 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 918 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962945212 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 921 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-18 |
| 1962944405 | Adults & Children W/ Learning & Dd | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 913 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-15 |
| 1184166274 | Community Mainstreaming Associates, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 920 Rainbow Commons Ct, Dix Hills, NY 11746-5638 | 2016-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.