Organization Active NPI

Adelante of Suffolk County, Inc.

  • Community/Behavioral Health Agency
  • Central Islip, NY
National Provider Identifier
1205369774
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ADELANTE OF SUFFOLK COUNTY, INC.
Practice address
83 Carlton Ave
Central Islip, NY 11722-3019
Phone
(516) 870-1600
Fax
(516) 870-1658
NPI assigned
Apr 11, 2017
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Mr. Robert S. Budd
Title
Ceo
Phone
(516) 870-1600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NY Primary

Addresses

Primary practice location

83 Carlton Ave
Central Islip, NY 11722-3019

Mailing address

191 Sweet Hollow Rd
Old Bethpage, NY 11804-1314
Phone (516) 870-1600

National Provider Directory

National Provider Directory

Locations

83 Carleton Ave
Central Islip, NY 11722

NPI Registry JSON

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1205369774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SWEET HOLLOW RD",
            "city": "OLD BETHPAGE",
            "state": "NY",
            "postal_code": "118041314",
            "telephone_number": "516-870-1600",
            "fax_number": "516-870-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 CARLTON AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223019",
            "telephone_number": "516-870-1600",
            "fax_number": "516-870-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADELANTE OF SUFFOLK COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-870-1600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; 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.