Sid Jacobson Jewish Community Center

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

SID JACOBSON JEWISH COMMUNITY CENTER

Practice address

300 Forest Dr
Greenvale, NY 11548-1231

Phone

(516) 484-1545

Fax

(516) 484-7354

NPI assigned

Aug 1, 2013

Organization subpart

No

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

Authorized official

Name

David Black

Title

Executive Director

Phone

(516) 484-1545

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1225460272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 FOREST DR",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481231",
            "telephone_number": "516-484-1545",
            "fax_number": "516-484-7354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 FOREST DR",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481231",
            "telephone_number": "516-484-1545",
            "fax_number": "516-484-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SID JACOBSON JEWISH COMMUNITY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-484-1545"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Emily Sharifiazad, DPT
• Masooma Zahra Sheikh, D.O
• Sherrie Glasserptpc (metropolitan physical therapy)
• Kiwon Kenneth Shin, DDS
• Behzad Sean Shojaee, MD
• Darya Sledzinskaya
• Jill Sonnenklar, PHD
• St. Francis Cardiac Prevention, P.C.
• St. Francis Diagnostic
• St. Francis Hospital

• Respite Care in Greenvale, NY
• Providers in Greenvale, NY by specialty
• Respite Care in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.