Organization Active NPI

Family Service League, Inc.

  • Student in an Organized Health Care Education/Training Program
  • Hauppauge, NY
National Provider Identifier
1265309983
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
FAMILY SERVICE LEAGUE, INC.
Practice address
90 Adams Ave
Hauppauge, NY 11788-3631
Phone
(631) 952-3333
NPI assigned
Oct 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Mr. Charles Walker III
Title
Student Intern
Phone
(631) 655-4643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

90 Adams Ave
Hauppauge, NY 11788-3631

Mailing address

90 Adams Ave
Hauppauge, NY 11788-3631
Phone (631) 952-3333

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1265309983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ADAMS AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883631",
            "telephone_number": "631-952-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ADAMS AVE",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117883631",
            "telephone_number": "631-952-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE LEAGUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "STUDENT INTERN",
        "authorized_official_telephone_number": "631-655-4643",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.