OrganizationActive
Menorah Park Group Residents
NPI 1689815805 · Developmental Disabilities Clinic/Center · Dewitt, NY
Provider details
- NPI number
- 1689815805
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Toni Cole, Office(315) 446-9111
- License
- SPV46480 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12 Jamar Drive
Dewitt, NY 13066
Phone: (315) 446-9111
Street-level locationGet directions
Mailing address
12 Jamar Dr
Fayetteville, NY 13066-1619
Registry dates
- Enumerated
- 2009-03-18
- Last updated
- 2009-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.