Organization Active NPI

Merrick Ufsd

  • Local Education Agency (LEA)
  • Merrick, NY
National Provider Identifier
1104979798
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MERRICK UFSD
Practice address
21 Babylon Rd
Merrick, NY 11566-4549
Phone
(516) 992-7293
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Mr. Salvatore Dossena
Title
Director of Student Services
Phone
(516) 992-7295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

21 Babylon Rd
Merrick, NY 11566-4549

Mailing address

21 Babylon Rd
Merrick, NY 11566-4549
Phone (516) 992-7293

Other identifiers 1

IdentifierTypeStateIssuer
01382356MedicaidNY

National Provider Directory

National Provider Directory

Locations

21 Babylon Rd
Merrick, NY 11566
Phone (516) 532-1141

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1104979798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BABYLON RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664549",
            "telephone_number": "516-992-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BABYLON RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664549",
            "telephone_number": "516-992-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRICK UFSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "DOSSENA",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT SERVICES",
        "authorized_official_telephone_number": "516-992-7295",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01382356",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.