HEALTH SERVICES OF NORTHERN NEW YORK, INC. (NPI# 1952407033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952407033 |
| Entity Type | Organization |
| Organization Name | HEALTH SERVICES OF NORTHERN NEW YORK, INC. |
| Practice Address |
56 Market St Potsdam NY 13676-1747 |
| Practice Telephone | 3152654065 |
| Practice Fax Number | 3152650012 |
| Mailing Telephone | 3152654065 |
| Mailing Fax Number | 3152650012 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2015-11-02 |
| Authorized Official Name | MR. MATHEW OBRYAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3152654065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01102469 | 05 | |
| NY | 00953677 | 05 | |
| NY | 01142814 | 05 | |
| NY | EXCELLUS BLUE CROSS BLUE | 337256 | 01 |
| Street Address |
56 MARKET ST |
| City | POTSDAM |
| State | NY |
| Zip Code | 13676-1747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780189498 | Melissa Rizzo | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2018-03-26 |
| 1437653474 | Kristin Lee Lashomb | Licensed Practical Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2018-03-23 |
| 1427558782 | Jackalyn Despaw | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2018-02-13 |
| 1821512526 | Rebecca Anne Mccormick | Occupational Therapy Assistant | 56 Market St, Potsdam, NY 13676-1747 | 2017-08-03 |
| 1518481951 | Melissa Marie Valcour | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-07-27 |
| 1699297341 | Jessica A Matthews | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-07-14 |
| 1093242745 | Brandy Kelley | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-05-12 |
| 1669912861 | Carrie Bascom | Licensed Practical Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2017-03-07 |
| 1891230215 | Jena Cryderman | Physical Therapy Assistant | 56 Market St, Potsdam, NY 13676-1747 | 2016-12-20 |
| 1093257313 | Kayla Grant | Registered Nurse | 56 Market St, Potsdam, NY 13676-1747 | 2016-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477170702 | Lucille D'agostino | Nurse Practitioner | 6805 State Highway 11, Potsdam, NY 13676 | 2020-07-02 |
| 1942851969 | Carrie E Sullivan | Counselor | 6956 Ny-56, Potsdam, NY 13676 | 2019-09-20 |
| 1508425786 | David M. Hurlbut Dds Pllc | Dentist | 145 1/2 Market Street, Suite A, Potsdam, NY 13676 | 2019-06-11 |
| 1609358902 | Sara Anne O'brian Polniak | Counselor | 20 Cottage Street, Potsdam, NY 13676 | 2018-09-04 |
| 1215451067 | Sunday Wright Smith | Advanced Practice Midwife | 34 Lawrence Avenue, Potsdam, NY 13676 | 2017-08-02 |
| 1992239891 | Michael Paul Wendell | Nurse Anesthetist, Certified Registered | Canton-potsdam Hospital, 50 Leroy Street, Potsdam, NY 13676 | 2017-04-18 |
| 1023561495 | Rocky Mountain Holdings, LLC | Ambulance | 150 Hatch Rd, Potsdam, NY 13676 | 2016-08-02 |
| 1942658398 | Samantha Lucas | Physician Assistant | 49 Lawrence, Urgent Care, Potsdam, NY 13676 | 2016-05-26 |
| 1205237880 | State Hearing and Audiology, PC | Audiologist-Hearing Aid Fitter | 6604 State Route 56, Potsdam, NY 13676 | 2014-09-15 |
| 1649607888 | Talia Elizabeth Foster | Acupuncturist | 22 Depot St. Suite 13, Potsdam, NY 13676 | 2013-10-02 |
| Find all providers in zip 13676 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952629669 | Loretta Dougan | Home Health | 16 W Stockholm Southville Rd, Potsdam, NY 13676-3361 | 2010-05-06 |
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| 1164021887 | Preferred Certified, LLC | Home Health | 5223 Broadway, Bronx, NY 10463-7636 | 2020-10-23 |
| 1063010767 | 6677 Broadway LLC | Home Health | 140 Beach 119th St, Rockaway Park, NY 11694-1953 | 2020-10-14 |
| 1730787524 | Michele L Spinnichia | Home Health | 34 Blakeslee St, Rochester, NY 14609-2212 | 2020-10-13 |
| 1497353379 | Nuimage Wellness Services Inc | Home Health | 320 Wilson St Ste 2, West Hempstead, NY 11552-2019 | 2020-10-13 |
| 1124626312 | Julienne E Corp | Home Health | 1468 E 100th St, Brooklyn, NY 11236-5521 | 2020-10-12 |
| 1821695834 | Rymax Electronics Inc | Home Health | 1805 5th Ave Ste F, Bay Shore, NY 11706-1761 | 2020-10-02 |
| 1003421074 | Massagebywen Pllc | Home Health | 24028 Memphis Ave, Rosedale, NY 11422-2017 | 2020-09-15 |
| 1679188056 | Anchor Home Care, LLC | Home Health | 50 Lakefront Boulevard Suite 200, Buffalo, NY 14202-4301 | 2020-09-11 |
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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.