Staten Island Aid for Retarded Children, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

28330 Issued in NY

Legal business name

STATEN ISLAND AID FOR RETARDED CHILDREN, INC

Doing business as

Community Resources

Practice address

3450 Victory Blvd
Staten Island, NY 10314-6721

Phone

(718) 447-5200

Fax

(718) 448-6939

NPI assigned

Dec 28, 2007

Last updated

Nov 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dana Thomas Magee, CEO/EXECUTIVE DIRECT

Title

Ceo/Executive Director

Phone

(718) 447-5200

Specialties & licenses 2

Addresses

Other identifiers 10

Other names 1

• Community Resources Doing business as

Locations

Practitioners 3

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.

• Diana Demeo, M.A.

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1720272511
  NPD (past)
• Michele Fischetti, MS, CCC-SLP, NYS/L

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1770735342
  NPD (past)
• Nancy A Flint

  • Prescribing (Medical) Psychologist
  • Staten Island, NY
  • NPI 1033323647
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1083898845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146721",
            "telephone_number": "718-447-5200",
            "fax_number": "718-448-6939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146721",
            "telephone_number": "718-447-5200",
            "fax_number": "718-448-6939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEN ISLAND AID FOR RETARDED CHILDREN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-447-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO/EXECUTIVE DIRECT"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "6669300",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "28330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01489752",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357584",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02169524",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249741",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02704525",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02740696",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02003625",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02592565",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249732",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02625152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• State of New York Comptrollers Office (Staten Island Developmental Disabilities Service Office Clinic)
• State of New York Comptrollers Office
• Staten Eye Land 2 Inc
• Staten Eye Land Inc
• Staten Isand University Hospital Van Trans Day Treatment
• Staten Island Allergy Office PC
• Staten Island Audiological Services, P.C.
• Staten Island Audiology and Hearing PC (Staten Island Hearig & Balance)
• Staten Island Care Center
• Staten Island Care Center

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2017; 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.