Eden II School for Autistic Children

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

EDEN II SCHOOL FOR AUTISTIC CHILDREN

Practice address

150 Granite Avenue
Staten Island, NY 10303

Phone

(718) 816-1422

Fax

(718) 816-1428

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Rauch

Title

Chief Financial Officer

Phone

(718) 816-1422

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eden II Programs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Eden II School for Autistic Children, Inc.

  • Community/Behavioral Health Agency
  • Staten Island, NY
  • NPI 1972852655
  NPD tax ID

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1023150398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 GRANITE AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "718-816-1422",
            "fax_number": "718-816-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GRANITE AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10303",
            "telephone_number": "718-816-1422",
            "fax_number": "718-816-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN II SCHOOL FOR AUTISTIC CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "RAUCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "718-816-1422",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01296208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zvi M Eckstein, M.D
• Eclipse Integrative Wellness NP in Family Health PLLC
• Jill Simone Edelstein
• Robin Edelstein, OTR/L
• Stephen Joseph Edelstein
• Eden II School for Autistic Children, Inc.
• Denis Ali Eder, LMHC
• Nicole B Edgar
• Megan Nicole Edgerly
• Benjeil Zurishaddai Edghill, MD

• Intellectual Disabilities Intermediate Care Facility in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Intellectual Disabilities Intermediate Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.