Organization Active NPI

Eastport South Manor School District

  • Local Education Agency (LEA)
  • Manorville, NY
National Provider Identifier
1336449453
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
009424-1 Issued in NY
Legal business name
EASTPORT SOUTH MANOR SCHOOL DISTRICT
Practice address
543 Moriches Middle Island Rd
Manorville, NY 11949
Phone
(631) 874-6500
Fax
(631) 874-6787
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Authorized official

Name
Mrs. Nicole M. Schindler, M.S
Title
Speech-Language Pathologist
Phone
(631) 874-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 009424-1 NY Primary

Addresses

Primary practice location

543 Moriches Middle Island Rd
Manorville, NY 11949

Mailing address

543 Moriches Middle Island Rd
Manorville, NY 11949
Phone (631) 874-6500

Other identifiers 1

IdentifierTypeStateIssuer
02558794MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Eastport South Manor Central School District2 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.

Locations

543 Moriches Middle Island Rd
Manorville, NY 11949
Phone (631) 807-8952

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": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1336449453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 MORICHES MIDDLE ISLAND RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "11949",
            "telephone_number": "631-874-6500",
            "fax_number": "631-874-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 MORICHES MIDDLE ISLAND RD",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "11949",
            "telephone_number": "631-874-6500",
            "fax_number": "631-874-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPORT SOUTH MANOR SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "SCHINDLER",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "631-874-6500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "009424-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02558794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manorville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.