NPIMap

Organization Active NPI

Andrus

  • Nursing Care Agency
  • Suffern, NY
National Provider Identifier
1003350562
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
559935-1 Issued in NY
Legal business name
ANDRUS
Practice address
126 Washington Ave
Suffern, NY 10901-6246
Phone
(845) 918-1273
NPI assigned
Dec 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Valerie A Desimone
Title
RN
Phone
(845) 918-1273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 559935-1 NY Primary

Addresses

Primary practice location

126 Washington Ave
Suffern, NY 10901-6246

Mailing address

126 Washington Ave
Suffern, NY 10901-6246
Phone (845) 918-1273

National Provider Directory

National Provider Directory
Tax ID family
Julia Dyckman Andrus Memorial5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1003350562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016246",
            "telephone_number": "845-918-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 WASHINGTON AVE",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109016246",
            "telephone_number": "845-918-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "DESIMONE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "845-918-1273"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "559935-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.