NASCENTIA COMMUNITY CARE NPI 1700870011

NPI Information

NPI: 1700870011
Provider Name: NASCENTIA COMMUNITY CARE
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
:
CLIA Number: 33D2273747
Address: 1050 W GENESEE ST
SYRACUSE, NY
ZIP 13204
Phone: (315) 641-2385

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NPI Details

NASCENTIA COMMUNITY CARE is a primary care clinic center in Syracuse, NY. NASCENTIA COMMUNITY CARE NPI is 1700870011. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1050 W GENESEE ST
SYRACUSE, NY
ZIP 13204-215
Phone: (315) 641-2385

The provider's authorized official is Mary Kate Rolf .
The authorized official title is President/ceo and has the following contact phone number (315) 477-9595.

The CLIA number assigned to this NPI record is 33D2273747 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/1/2005 and was last updated on 2/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251E00000X	Home Health		3301606	NEW YORK	No
2	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00396098	MEDICAID	NEW YORK
2	3301330R	OTHER	NEW YORK	OPERATING CERTIFICATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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