NPIMap

Organization Active NPI

Jordan Cameron Moses Playhouse for Speech and Language, P.C.

  • Local Education Agency (LEA)
  • Long Beach, NY
National Provider Identifier
1023437548
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
013020-1 Issued in NY
Legal business name
JORDAN CAMERON MOSES PLAYHOUSE FOR SPEECH AND LANGUAGE, P.C.
Practice address
118 Ohio Ave
Long Beach, NY 11561-1130
Phone
(516) 581-2098
NPI assigned
Apr 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Authorized official

Name
Ms. Jacqueline Vanessa Rampersad, M.S.NPI 1487870465
Title
Secretary
Phone
(516) 581-2098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 013020-1 NY Primary

Addresses

Primary practice location

118 Ohio Ave
Long Beach, NY 11561-1130

Mailing address

118 Ohio Ave
Long Beach, NY 11561-1130
Phone (516) 581-2098

Other identifiers 1

IdentifierTypeStateIssuer
235Z00000XOtherNYSPEECH-LANGUAGE PATHOLOGY

National Provider Directory

National Provider Directory
Tax ID family
Jordan Cameron Moses Playhouse for Speech and Language PC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1023437548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 OHIO AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611130",
            "telephone_number": "516-581-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 OHIO AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611130",
            "telephone_number": "516-581-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN CAMERON MOSES PLAYHOUSE FOR SPEECH AND LANGUAGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "RAMPERSAD",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "VANESSA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "516-581-2098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "013020-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "235Z00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.