NPIMap

Organization Active NPI

Nys Doccs

  • Custodial Care Facility
  • Comstock, NY
National Provider Identifier
1346633989
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
000650-1 Issued in NY
Legal business name
NYS DOCCS
Practice address
11739 State Route 22
Great Meadow Correctional Facility
Comstock, NY 12821-0051
Phone
(518) 639-5516
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Authorized official

Name
Mr. Jeffrey Lindstrand
Title
Deputy Supt of Administration
Phone
(518) 639-5516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 000650-1 NY Primary

Addresses

Primary practice location

11739 State Route 22
Great Meadow Correctional Facility
Comstock, NY 12821-0051

Mailing address

PO Box 51
11739 State Route 22
Comstock, NY 12821-0051
Phone (518) 639-5516

National Provider Directory

National Provider Directory
Tax ID family
Wilton Devel Ctr Rev M269 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1425600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1346633989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51",
            "address_2": "11739 STATE ROUTE 22",
            "city": "COMSTOCK",
            "state": "NY",
            "postal_code": "128210051",
            "telephone_number": "518-639-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11739 STATE ROUTE 22",
            "address_2": "GREAT MEADOW CORRECTIONAL FACILITY",
            "city": "COMSTOCK",
            "state": "NY",
            "postal_code": "128210051",
            "telephone_number": "518-639-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYS DOCCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "LINDSTRAND",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "DEPUTY SUPT OF ADMINISTRATION",
        "authorized_official_telephone_number": "518-639-5516",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": "000650-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Comstock, NY

Sources for this page

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