Active NPI
Independent Staffing
- Case Management Agency
- Port Jefferson Station, NY
National Provider Identifier
1215468822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- INDEPENDENT STAFFING
- Practice address
- 56 Scranton Ave
Port Jefferson Station, NY 11776-3376 - Phone
- (631) 806-9056
- Fax
- (631) 403-4760
- NPI assigned
- Mar 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine McNally
- Title
- RN
- Phone
- (631) 806-9056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
56 Scranton Ave
Port Jefferson Station, NY 11776-3376
Mailing address
56 Scranton Ave
Port Jefferson Station, NY 11776-3376
Phone (631) 806-9056
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1490313600000",
"number": "1215468822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 SCRANTON AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117763376",
"telephone_number": "631-806-9056",
"fax_number": "631-403-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 SCRANTON AVE",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117763376",
"telephone_number": "631-806-9056",
"fax_number": "631-403-4760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INDEPENDENT STAFFING",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-24",
"last_updated": "2017-03-24",
"status": "A",
"authorized_official_last_name": "MCNALLY",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "631-806-9056"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.