NPIMap

Organization Active NPI

County of Suffolk

  • Early Intervention Provider Agency
  • Hauppauge, NY
National Provider Identifier
1093963910
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
COUNTY OF SUFFOLK
Practice address
50 Laser CT
Hauppauge, NY 11788-3958
Phone
(631) 853-2332
Fax
(631) 853-3031
NPI assigned
Sep 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Dr. James L Tomarken, MSW,MPH,MBA,FRCPC,FA
Title
Commissioner
Phone
(631) 854-0100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

50 Laser CT
Hauppauge, NY 11788-3958

Mailing address

P.O. Box 9006
3500 Sunrise Hwy, Suite 124
Great River, NY 11739-9006
Phone (631) 854-0000

Other identifiers 1

IdentifierTypeStateIssuer
00321875MedicaidNY

Other names 1

  • Div of Services for Child w/Spec nds EI-SC Other name

National Provider Directory

National Provider Directory
Tax ID family
Anjumon a Amin17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1093963910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 9006",
            "address_2": "3500 SUNRISE HWY, SUITE 124",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117399006",
            "telephone_number": "631-854-0000",
            "fax_number": "631-854-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LASER CT",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883958",
            "telephone_number": "631-853-2332",
            "fax_number": "631-853-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SUFFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "TOMARKEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "COMMISSIONER",
        "authorized_official_telephone_number": "631-854-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MSW,MPH,MBA,FRCPC,FA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00321875",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Div of Services for Child w/Spec nds EI-SC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.