Organization Active NPI

Jilly'S Place

  • Early Intervention Provider Agency
  • Washingtonville, NY
National Provider Identifier
1043572456
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
JILLY'S PLACE
Practice address
10 Weathervane Dr
Washingtonville, NY 10992-2242
Phone
(845) 496-1966
Fax
(845) 496-1976
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Ms. Pat Howley, RN , LMSW
Title
Director
Phone
(845) 496-1966

Specialties & licenses 1

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

Addresses

Primary practice location

10 Weathervane Dr
Washingtonville, NY 10992-2242

Mailing address

10 Weathervane Dr
Washingtonville, NY 10992-2242
Phone (845) 496-1966

National Provider Directory

National Provider Directory
Tax ID family
Jilly'S Place3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1043572456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WEATHERVANE DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922242",
            "telephone_number": "845-496-1966",
            "fax_number": "845-496-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WEATHERVANE DR",
            "city": "WASHINGTONVILLE",
            "state": "NY",
            "postal_code": "109922242",
            "telephone_number": "845-496-1966",
            "fax_number": "845-496-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILLY'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "HOWLEY",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-496-1966",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN , LMSW"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washingtonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.