East Lyme Board of Ed

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

004208262 Issued in CT

Legal business name

EAST LYME BOARD OF ED

Practice address

165 Boston Post Rd
East Lyme, CT 06333-1605

Phone

(860) 739-1208

NPI assigned

Mar 21, 2007

Last updated

May 4, 2016By 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

Stephen Buck

Title

Dir of Sped

Phone

(860) 739-1208

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1114042553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 BOSTON POST RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 BOSTON POST RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331605",
            "telephone_number": "860-739-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST LYME BOARD OF ED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "DIR OF SPED",
        "authorized_official_telephone_number": "860-739-1208"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CT",
            "license": "004208262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illene Chelsea Dezfuli, PHARMD
• Susan D Diaz
• Elizabeth Lynn Dmowski, APRN
• Dr. Robert E. Levin
• James Anthony Dyer, DMD
• East Lyme Oral and Maxillofacial Surgery
• Elevating Wellness LLC
• Kirk F. Engel, D.M.D.
• Richard Dale England, M.D., PH.D.
• Stefania Falvo, OTR/L

• Local Education Agency (LEA) in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Local Education Agency (LEA) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.