Port Jervis City School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PORT JERVIS CITY SCHOOL DISTRICT

Practice address

9 Thompson St
Port Jervis, NY 12771-3042

Phone

(845) 858-3185

Fax

(845) 858-4211

NPI assigned

Jan 9, 2007

Last updated

Mar 17, 2015By 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

Mrs. Lisa Marie Buczek

Title

Administrative Aide

Phone

(845) 858-3100

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1093864316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 THOMPSON ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127713042",
            "telephone_number": "845-858-3185",
            "fax_number": "845-858-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 THOMPSON ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127713042",
            "telephone_number": "845-858-3185",
            "fax_number": "845-858-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JERVIS CITY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "BUCZEK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE AIDE",
        "authorized_official_telephone_number": "845-858-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01380029",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Jade Piatt
• Edward Plotzker, MD
• Karen Ann Pollidore, NP
• Port Jervis Anesthesiology Associates, PLLC
• Port Jervis Chiropractic, P.C.
• Port Jervis Family Health NP PC
• Port Jervis Pharmacy LLC (Medicine Shoppe)
• Port Jervis Volunteer Ambcorps
• Port Jervis Volunteer Ambulance Corps Inc
• Sheila Quinn

• Local Education Agency (LEA) in Port Jervis, NY
• Providers in Port Jervis, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.