Yours Ours Mine Community Ctr

Primary specialty

Social WorkerTaxonomy code 104100000X

License

076924 Issued in NY

Legal business name

YOURS OURS MINE COMMUNITY CTR

Practice address

152 Center Lane
Levittown, NY 11756

Phone

(516) 796-6633

Fax

(516) 796-6663

NPI assigned

Oct 8, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Randazzo

Title

Controller

Phone

(516) 796-6633

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Yours Ours Mine Community Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Yours Ours Mine Community Center, Inc.

  • Community/Behavioral Health Agency
  • Levittown, NY
  • NPI 1588700553
  NPD tax ID

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1255582318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 CENTER LANE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "516-796-6633",
            "fax_number": "516-796-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CENTER LANE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "11756",
            "telephone_number": "516-796-6633",
            "fax_number": "516-796-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURS OURS MINE COMMUNITY CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-08",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "RANDAZZO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "516-796-6633",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01097121",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claire Jin Yi, PHARMD
• Young Adult Institute, Inc.
• Young Adult Institute, Inc.
• Lori Young
• Yours Ours Mine Community Center, Inc.
• Eric Jay Yousha, D.O.
• James Zegers, ATC/L
• Laura Zelenka-Dufresne, R.D., CDN, CHES
• Jiankun Zhai
• Jianxin Zhai, CMT

• Social Worker in Levittown, NY
• Providers in Levittown, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.