NPIMap

Organization Active NPI

Fallsburg CSD

  • Local Education Agency (LEA)
  • Fallsburg, NY
National Provider Identifier
1134571664
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
084500 Issued in NY
Legal business name
FALLSBURG CSD
Practice address
115 Brickman Rd
Fallsburg, NY 12733-5208
Phone
(845) 434-6800
NPI assigned
Jul 8, 2016
Last updated
Jul 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Mrs. Heather Hendershot
Title
PPS Director
Phone
(845) 434-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 084500 NY Primary

Addresses

Primary practice location

115 Brickman Rd
Fallsburg, NY 12733-5208

Mailing address

115 Brickman Rd
Fallsburg, NY 12733-5208
Phone (845) 434-6800

Other identifiers 1

IdentifierTypeStateIssuer
01381819MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1134571664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BRICKMAN RD",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "127335208",
            "telephone_number": "845-434-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRICKMAN RD",
            "city": "FALLSBURG",
            "state": "NY",
            "postal_code": "127335208",
            "telephone_number": "845-434-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLSBURG CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PPS DIRECTOR",
        "authorized_official_telephone_number": "845-434-6800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "084500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01381819",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallsburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.