NPIMap

Organization Active NPI

Nyfoundling Hosp Aka St Agathas 4 Duryea Lane

  • Intellectual Disabilities Intermediate Care Facility
  • Nanuet, NY
National Provider Identifier
1083753040
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
07107444 Issued in NY
Legal business name
NYFOUNDLING HOSP AKA ST AGATHAS 4 DURYEA LANE
Practice address
4 Duryea Lane
4 Duryea Lane
Nanuet, NY 10954-3105
Phone
(212) 633-9300
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Mr. William F Baccaglini
Title
Executive Director
Phone
(212) 886-4075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 07107444 NY Primary

Addresses

Primary practice location

4 Duryea Lane
4 Duryea Lane
Nanuet, NY 10954-3105

Mailing address

590 Avenue of the Americas
New York, NY 10011-2019
Phone (212) 727-6977

Other identifiers 1

IdentifierTypeStateIssuer
00697003MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
New York Foundling26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1083753040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 AVENUE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100112019",
            "telephone_number": "212-727-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 DURYEA LANE",
            "address_2": "4 DURYEA LANE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543105",
            "telephone_number": "212-633-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYFOUNDLING HOSP AKA ST AGATHAS 4 DURYEA LANE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "BACCAGLINI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "212-886-4075",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "07107444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00697003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.