STATE OF NEW YORK (NPI# 1639218456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639218456 |
| Entity Type | Organization |
| Organization Name | STATE OF NEW YORK |
| Other Organization Name | MONROE DEVELOPMENTAL CENTER |
| Practice Address |
620 Westfall Rd Rochester NY 14620-4610 |
| Mailing Address |
44 Holland Ave Albany NY 12229-0001 |
| Practice Telephone | 5184024333 |
| Mailing Telephone | 5184024333 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-27 |
| Authorized Official Name | KARLA SMITH (DIRECTOR OF CENTRAL OPERATIONS) |
| Authorized Official Telephone | 5184024333 |
| Is Organization Subpart | Y |
| Parent Organization Name | STATE OF NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | OMRDD232 | NY | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00665729 | 05 |
| Other Name | Type Code |
|---|---|
| Monroe Developmental Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003447012 | State of New York | Intermediate Care Facility, Mentally Retarded | 8045 Winchester Blvd Bldg 08, Queens Village, NY 11427-2194 | 2020-01-29 |
| 1053713883 | State of New York | Pharmacy | Cook St, Dannemora, NY 12929 | 2014-09-24 |
| 1336493014 | State of New York | Pharmacy | 201 Kapoor Hall, Buffalo, NY 14214-8033 | 2012-11-02 |
| 1487906368 | State of New York | Intermediate Care Facility, Mentally Retarded | 22 Sinpatch Rd, Wassaic, NY 12592-2432 | 2012-10-03 |
| 1972883171 | State of New York | Intermediate Care Facility, Mentally Retarded | 648 Leydecker Rd, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1851671044 | State of New York | Intermediate Care Facility, Mentally Retarded | 650 Leydecker Road, West Seneca, NY 14224-3755 | 2011-08-19 |
| 1093093031 | State of New York | Intermediate Care Facility, Mentally Retarded | 526 Leydecker Rd, West Seneca, NY 14224-3731 | 2011-07-25 |
| 1871890590 | State of New York | Intermediate Care Facility, Mentally Retarded | 18 Sinpatch Rd, Wassaic, NY 12592-2432 | 2011-02-15 |
| 1174852909 | State of New York | Intermediate Care Facility, Mentally Retarded | 50 Cedar Lane, Wassaic, NY 12592 | 2009-12-07 |
| 1598909996 | State of New York | Intermediate Care Facility, Mental Illness | 55 Sinpatch Rd, Wassaic, NY 12592-2410 | 2009-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | STATE OF NEW YORK INCORPORATED | 1215 Laurel Lane, Beverly Hills, California 90210 |
| New York State Corporations | STATE OF NEW YORK POLICE AND FIRE RETIREES ASSOCIATION OF BROOME COUNTY, INC. | P.o. Box 504, Johnson City, Ny 13790 |
| Street Address |
620 WESTFALL RD |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-4610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124045554 | Jeanne L. Levey | Dietitian, Registered | 620 Westfall Rd, Monroe Developmental Center, Rochester, NY 14620-4610 | 2006-07-15 |
| 1992359616 | Kelly Marie Barbieri | Dietitian, Registered | 620 Westfall Rd, Rochester, NY 14620-4610 | 2019-07-31 |
| 1427601343 | Anna Rollins | Dietitian, Registered | 620 Westfall Rd, Rochester, NY 14620-4610 | 2019-07-19 |
| 1255996187 | Gail Arlyne Brownell | Psychologist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2019-05-06 |
| 1780175216 | Matthew Michael Nowak | Occupational Therapist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2018-05-21 |
| 1114431533 | Andrew Joseph Rudd | Occupational Therapist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2017-11-21 |
| 1700397288 | Gregory T Horton | Audiologist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2017-10-24 |
| 1073063962 | Kerry Dudek | Social Worker | 620 Westfall Rd, Rochester, NY 14620-4610 | 2016-10-04 |
| 1215395611 | Chelsea Musnoff | Physical Therapist | 620 Westfall Rd, Rochester, NY 14620-4610 | 2016-02-01 |
| 1316313349 | Charlene Dewind | Occupational Therapist | 620 Westfall Rd, Rochester, NY 14620 | 2015-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801228937 | Rem River Bluffs, Inc. Pinewood | Intermediate Care Facility, Mentally Retarded | 2631 Pinewood Ridge Dr Se, Rochester, MN 55904-6227 | 2013-07-31 |
| 1508033580 | Allendale House | Intermediate Care Facility, Mentally Retarded | 3108 Highway 52 N, Rochester, MN 55901-1916 | 2008-05-09 |
| 1083880488 | Bear Creek Services | Intermediate Care Facility, Mentally Retarded | 3108 Hwy 52 N, Rochester, MN 55901-1916 | 2008-05-06 |
| 1205955440 | Lifetime Assistance, Inc. | Intermediate Care Facility, Mentally Retarded | 425 Paul Rd, Rochester, NY 14624-4721 | 2007-03-28 |
| 1588737381 | Msocs-rochester | Intermediate Care Facility, Mentally Retarded | 448 17th St Sw, Rochester, MN 55902-2158 | 2006-11-17 |
| 1306918420 | Mary Cariola Children's Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2245 English Rd, Rochester, NY 14616-1651 | 2006-11-14 |
| 1093887101 | Mary Cariola Children's Center, Inc. | Intermediate Care Facility, Mentally Retarded | 2575 Browncroft Blvd, Rochester, NY 14625-1528 | 2006-11-14 |
| 1871662650 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 1631 19th Avenue Se, Rochester, MN 55904 | 2006-11-07 |
| 1720163322 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 2509 55th Street Nw, Rochester, MN 55901 | 2006-10-25 |
| 1588749154 | Rem River Bluffs Inc | Intermediate Care Facility, Mentally Retarded | 3003 Stone Park Dr Ne, Rochester, MN 55906-7721 | 2006-10-25 |
| Find all providers in ROCHESTER | ||||
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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.