Ed180, Inc

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

ED180, INC

Practice address

300 Garden City PLZ
Suite 312
Garden City, NY 11530-3302

Phone

(516) 280-3544

Fax

(516) 414-2544

NPI assigned

Sep 17, 2014

Organization subpart

No

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

Authorized official

Name

Jeffrey R Desarbo, D.O.

Title

Director

Phone

(516) 280-3544

Specialties & licenses 1

Addresses

Other names 1

• Ed180 Eating Disorder Treatment Programs Other name

Practitioners 1

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

• Lukas Sebastiano Desarbo

  • Social Worker
  • Garden City, NY
  • NPI 1487250148
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1154723559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ",
            "address_2": "SUITE 312",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303302",
            "telephone_number": "516-280-3544",
            "fax_number": "516-414-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GARDEN CITY PLZ",
            "address_2": "SUITE 312",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303302",
            "telephone_number": "516-280-3544",
            "fax_number": "516-414-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ED180, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "DESARBO",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-280-3544",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ed180 Eating Disorder Treatment Programs",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Eapen, PT, DPT
• Stephanie Eastman, M.S., OTR/L
• Jennifer Rebecca Ebrani, M.S. IN SPECIAL ED
• Kelly Eckhoff, FNP
• Meagan Eckhoff
• Rosemary Eddelson
• Robert A Edelman, MD
• Edward Katime, M.D.,P.C.
• Gwenddyn E Edwards
• Nadia Edwards

• Group Psychotherapy Psychologist in Garden City, NY
• Providers in Garden City, NY by specialty
• Group Psychotherapy Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.