NPIMap

Organization Active NPI

Eastern Suffolk Boces

  • Public Health or Welfare Agency
  • Patchogue, NY
National Provider Identifier
1073890091
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
EASTERN SUFFOLK BOCES
Practice address
201 Sunrise Hwy
Patchogue, NY 11772-1868
Phone
(631) 289-2200
NPI assigned
Nov 4, 2011
Last updated
Nov 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Mr. David Russo, R.N
Title
School Nurse
Phone
(631) 422-1570

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

201 Sunrise Hwy
Patchogue, NY 11772-1868

Mailing address

201 Sunrise Hwy
Patchogue, NY 11772-1868
Phone (631) 289-2200

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1073890091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SUNRISE HWY",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721868",
            "telephone_number": "631-289-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SUNRISE HWY",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721868",
            "telephone_number": "631-289-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SUFFOLK BOCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "631-422-1570",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.