Plainview Old Bethpage CSD

Organization Active NPI Local Education Agency (LEA) · Plainview, NY

NPI 1144360397 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1144360397
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
PLAINVIEW OLD BETHPAGE CSD
Practice address
106 Washington Ave
Plainview, NY 11803
Phone
(516) 937-6310
Fax
(516) 937-9142
NPI assigned
Feb 7, 2007
Organization subpart
No

Authorized official

Name
Mr. Ryan J Ruf, SBA
Title
Asst Superintendent for Business
Phone
(516) 937-6310

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2206568Plainview-Old Bethpage CSD
106 Washington Ave, Plainview, NY 11803
Certificate of waiverMar 26, 2027

National Provider Directory

Locations

106 Washington Ave
Plainview, NY 11803
Phone (516) 937-6310

Specialties & licenses

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

Addresses

Primary practice location

106 Washington Ave
Plainview, NY 11803

Mailing address

106 Washington Ave
Plainview, NY 11803
Phone (516) 937-6310

Other identifiers

IdentifierTypeStateIssuer
01388421MedicaidNY

Other providers in Plainview, NY

All providers in Plainview, NY · Local Education Agency (LEA) in New York

Sources for this page

Verify at the official NPI Registry.