NPIMap

Organization Active NPI

Empowerment Collaborative of Long Island Inc.

  • Case Management Agency
  • Islandia, NY
National Provider Identifier
1306209846
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
EMPOWERMENT COLLABORATIVE OF LONG ISLAND INC.
Practice address
185 Oval Dr
Islandia, NY 11749-1402
Phone
(631) 880-1125
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Jennifer Guadalupe HernandezNPI 1790148237
Title
President
Phone
(631) 880-1125

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

185 Oval Dr
Islandia, NY 11749-1402

Mailing address

185 Oval Dr
Islandia, NY 11749-1402
Phone (631) 880-1125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1306209846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 OVAL DR",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491402",
            "telephone_number": "631-880-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OVAL DR",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117491402",
            "telephone_number": "631-880-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT COLLABORATIVE OF LONG ISLAND INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-880-1125"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islandia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.