NPIMap

Organization Active NPI

Department of Education

  • Local Education Agency (LEA)
  • Staten Island, NY
National Provider Identifier
1083980924
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
021206-1 Issued in NY
Legal business name
DEPARTMENT OF EDUCATION
Practice address
155 Tompkins Ave
Staten Island, NY 10304-2601
Phone
(718) 556-1820
NPI assigned
Mar 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Ms. Phyllis Ann Forman
Title
Physical Therapist
Phone
(718) 556-1820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 021206-1 NY Primary

Addresses

Primary practice location

155 Tompkins Ave
Staten Island, NY 10304-2601

Mailing address

155 Tompkins Ave
Staten Island, NY 10304-2601
Phone (718) 556-1820

National Provider Directory

National Provider Directory

Locations

155 Tompkins Ave
Staten Island, NY 10304
Phone (718) 273-8622

Practitioners & affiliated clinicians

Practitioners 3

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": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1083980924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 TOMPKINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042601",
            "telephone_number": "718-556-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 TOMPKINS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042601",
            "telephone_number": "718-556-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "FORMAN",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-556-1820",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "021206-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.