NPIMap

Organization Active NPI

Nysarc Inc Suffolk Chapter

  • Developmentally Disabled Services Day Training Agency
  • Bohemia, NY
National Provider Identifier
1043487671
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
NYSARC INC SUFFOLK CHAPTER
Practice address
2900 Veterans Memorial Hwy
Bohemia, NY 11716-1022
Phone
(631) 585-0100
Fax
(631) 585-0233
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mr. William J Leonardi
Title
Cfo
Phone
(631) 585-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

2900 Veterans Memorial Hwy
Bohemia, NY 11716-1022

Mailing address

2900 Veterans Memorial Hwy
Bohemia, NY 11716-1022
Phone (631) 585-0100

Other identifiers 1

IdentifierTypeStateIssuer
02249856MedicaidNY

Other names 1

  • Suffolk AHRC Other name

National Provider Directory

National Provider Directory
Tax ID family
Nysarc Inc Suffolk Chapter16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1043487671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 VETERANS MEMORIAL HWY",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161022",
            "telephone_number": "631-585-0100",
            "fax_number": "631-585-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 VETERANS MEMORIAL HWY",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161022",
            "telephone_number": "631-585-0100",
            "fax_number": "631-585-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC INC SUFFOLK CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "LEONARDI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "631-585-0100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249856",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk AHRC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.