Organization Active NPI

Dept of Education

  • Pediatric Skilled Nursing Facility
  • Bronx, NY
National Provider Identifier
1073889754
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
22-528487 Issued in NJ
Legal business name
DEPT OF EDUCATION
Practice address
1535 Story Ave
School
Bronx, NY 10473-4555
Phone
(718) 842-2655
Fax
(718) 328-5506
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Cely Lusaria, RN
Title
Nurse
Phone
(718) 842-2655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X 22-528487 NJ Primary

Addresses

Primary practice location

1535 Story Ave
School
Bronx, NY 10473-4555

Mailing address

139 Kimball Terrence
House
Yonkers, NY 10704
Phone (718) 842-2655

National Provider Directory

National Provider Directory

Locations

1535 Story Ave
Bronx, NY 10473
Phone (718) 430-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1073889754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 KIMBALL TERRENCE",
            "address_2": "HOUSE",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10704",
            "telephone_number": "718-842-2655",
            "fax_number": "718-328-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 STORY AVE",
            "address_2": "SCHOOL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104734555",
            "telephone_number": "718-842-2655",
            "fax_number": "718-328-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "LUSARIA",
        "authorized_official_first_name": "CELY",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "718-842-2655",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NJ",
            "license": "22-528487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.