Active NPI
Dept of Education
- Pediatric Skilled Nursing Facility
- Bronx, NY
National Provider Identifier
1073889754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 22-528487
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Occupational Therapist
- Bronx, NY
- NPI 1982970489
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.