Active NPI
Meals on Wheels of Si, Inc.
- Home Delivered Meals
- Staten Island, NY
National Provider Identifier
1023303047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Delivered Meals
- Legal business name
- MEALS ON WHEELS OF SI, INC.
- Practice address
- 304 Port Richmond Ave
Staten Island, NY 10302-1705 - Phone
- (718) 727-4435
- Fax
- (718) 727-2157
- NPI assigned
- Jun 17, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joseph Tornello
- Title
- LCSW
- Phone
- (718) 727-4435
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Delivered Meals | 332U00000X | Primary |
Addresses
Primary practice location
304 Port Richmond Ave
Staten Island, NY 10302-1705
Mailing address
304 Port Richmond Ave
Staten Island, NY 10302-1705
Phone (718) 727-4435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03153037 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
304 Port Richmond Ave
Staten Island, NY 10302
Phone (718) 727-4435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308268800000",
"number": "1023303047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 PORT RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021705",
"telephone_number": "718-727-4435",
"fax_number": "718-727-2157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 PORT RICHMOND AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103021705",
"telephone_number": "718-727-4435",
"fax_number": "718-727-2157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEALS ON WHEELS OF SI, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-17",
"last_updated": "2011-06-17",
"status": "A",
"authorized_official_last_name": "TORNELLO",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "718-727-4435",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332U00000X",
"taxonomy_group": "",
"desc": "Home Delivered Meals",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03153037",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.