Organization Active NPI

Wyandanch School District

  • Specialist
  • Wyandanch, NY
National Provider Identifier
1083007546
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
082744 Issued in NY
Legal business name
WYANDANCH SCHOOL DISTRICT
Practice address
792 Mount Ave
Wyandanch, NY 11798-4430
Phone
(631) 870-0055
NPI assigned
Mar 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Janice Patterson
Title
Director of Special Education
Phone
(631) 870-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 082744 NY Primary

Addresses

Primary practice location

792 Mount Ave
Wyandanch, NY 11798-4430

Mailing address

1445 Dr Martin Luther King Jr Blvd
Wyandanch, NY 11798-3900

National Provider Directory

National Provider Directory

Locations

1445 Dr Martin Luther King Jr Blvd
Wyandanch, NY 11798
Phone (631) 870-0401

792 Mount Ave
Wyandanch, NY 11798
Phone (631) 870-0055

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": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1083007546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 DR MARTIN LUTHER KING JR BLVD",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117983900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 MOUNT AVE",
            "city": "WYANDANCH",
            "state": "NY",
            "postal_code": "117984430",
            "telephone_number": "631-870-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYANDANCH SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "631-870-0500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "082744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandanch, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.