NPIMap

Organization Active NPI

Brentwood Ufsd

  • Early Intervention Provider Agency
  • Brentwood, NY
National Provider Identifier
1013226646
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
5786 Issued in NY
Legal business name
BRENTWOOD UFSD
Practice address
50 Timberline Dr
Brentwood, NY 11717-4803
Phone
(631) 435-9111
NPI assigned
Sep 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Mr. Joseph Bond
Title
Superintendent of Schools
Phone
(631) 434-2325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 5786 NY Primary

Addresses

Primary practice location

50 Timberline Dr
Brentwood, NY 11717-4803

Mailing address

50 Timberline Dr
Brentwood, NY 11717-4803
Phone (631) 435-9111

National Provider Directory

National Provider Directory

Locations

50 Timberline Dr
Brentwood, NY 11717
Phone (631) 434-2244

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1013226646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 TIMBERLINE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174803",
            "telephone_number": "631-435-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 TIMBERLINE DR",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174803",
            "telephone_number": "631-435-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD UFSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-30",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "631-434-2325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "5786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.