Department of Veterans Affair

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

Legal business name

DEPARTMENT OF VETERANS AFFAIR

Practice address

79 Middleville Rd
Northport, NY 11768-2200

Phone

(631) 261-4400

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Jinny Anne Mullen, CTRS

Title

Recreation Therapist

Phone

(631) 261-4400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1306958806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-261-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "JINNY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "RECREATION THERAPIST",
        "authorized_official_telephone_number": "631-261-4400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CTRS"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RECREATION THERAPIST",
            "identifier": "46698",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Delfino, RN
• Jeanine Michele Delgado, LCSW
• Laura Deluca, PH.D
• Jessica Dempsey, RN
• Nancy Lynn Depalo, RD
• Department of Veterans Affairs
• Department of Veterans Affairs Medical Center
• Lauren Deptula, M.A.
• Deepak Sadanand Desai, M.D
• Susan Desai

• Rehabilitation Hospital in Northport, NY
• Providers in Northport, NY by specialty
• Rehabilitation Hospital in New York

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