NPIMap

Organization Active NPI

Martin de Porres

  • Community/Behavioral Health Agency
  • Elmont, NY
National Provider Identifier
1063712347
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARTIN DE PORRES
Practice address
621 Elmont Road
Elmont, NY 10003
Phone
(516) 502-2840
Fax
(516) 502-2841
NPI assigned
Nov 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Ms. Patricia Lyons, MSW
Title
Social Worker
Phone
(516) 502-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

621 Elmont Road
Elmont, NY 10003

Mailing address

621 Elmont Rd
Elmont, NY 11003-4028
Phone (516) 502-2840

National Provider Directory

National Provider Directory
Tax ID family
Martin de Porres5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

621 Elmont Rd
Elmont, NY 11003
Phone (516) 502-2840

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1063712347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034028",
            "telephone_number": "516-502-2840",
            "fax_number": "516-502-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 ELMONT ROAD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "516-502-2840",
            "fax_number": "516-502-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DE PORRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "516-502-2840",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; 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.