{"npi":"1043397490","type":"NPI-2","status":"active","name":{"display":"Nysarc Inc. Onondaga County Chapter","other":[],"organization_name":"NYSARC INC. ONONDAGA COUNTY CHAPTER","authorised_official":"Stanfort Perry"},"specialty":{"primary_taxonomy":"261QD1600X","primary_taxonomy_description":"Developmental Disabilities Clinic/Center","slug":"developmental-disabilities-clinic-center","schema_org_specialty":null,"all":[{"code":"261QD1600X","description":"Developmental Disabilities Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"600 S WILBUR AVE","city":"SYRACUSE","state":"NY","postal_code":"132042730","country_code":"US","phone":"3154767441","fax":"3154246001"},{"purpose":"MAILING","street_1":"600 S WILBUR AVE","city":"SYRACUSE","state":"NY","postal_code":"132042730","country_code":"US","phone":"3154767441","fax":"3154246001"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"00560238","state":"NY","issuer":null},{"type_code":"05","label":"Medicaid","value":"01474799","state":"NY","issuer":null},{"type_code":"05","label":"Medicaid","value":"01162096","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070912000594","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"9537252184"}]},"enumeration_date":"2006-11-01","last_updated":"2007-08-22","_meta":{"source":"NPPES","snapshot_date":"2007-08-22","doc_url":"https://findmynpi.com/api"}}