Organization Active NPI

South Jefferson Central School District

  • Local Education Agency (LEA)
  • Adams Center, NY
National Provider Identifier
1265587018
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SOUTH JEFFERSON CENTRAL SCHOOL DISTRICT
Practice address
13180 US Route 11
District Office
Adams Center, NY 13606-0010
Phone
(315) 583-6104
Fax
(315) 583-6381
NPI assigned
Jan 24, 2007
Last updated
Apr 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Mrs. Angela Picunas
Title
Business Manager
Phone
(315) 583-6104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

13180 US Route 11
District Office
Adams Center, NY 13606-0010

Mailing address

PO Box 10
Adams, NY 13605
Phone (315) 583-6104

Other identifiers 1

IdentifierTypeStateIssuer
01400637MedicaidNY

National Provider Directory

National Provider Directory

Locations

13180 US Route 11
Ofc
Adams Center, NY 13606
Phone (315) 583-6104

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1265587018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "ADAMS",
            "state": "NY",
            "postal_code": "13605",
            "telephone_number": "315-583-6104",
            "fax_number": "315-583-6381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 US ROUTE 11",
            "address_2": "DISTRICT OFFICE",
            "city": "ADAMS CENTER",
            "state": "NY",
            "postal_code": "136060010",
            "telephone_number": "315-583-6104",
            "fax_number": "315-583-6381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JEFFERSON CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "PICUNAS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "315-583-6104",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01400637",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adams Center, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2015; 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.