Organization Active NPI

Haitian American Family of Long Island

  • Social Worker
  • Freeport, NY
National Provider Identifier
1356000475
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
HAITIAN AMERICAN FAMILY OF LONG ISLAND
Doing business as
Haitian - American of Long Island
Practice address
294 W Merrick Rd Ste 7
Freeport, NY 11520-3357
Phone
(516) 628-9405
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Maryse Lamercie Emmanuel-Garcy, LMSW
Title
Executive Director
Phone
(151) 652-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

294 W Merrick Rd Ste 7
Freeport, NY 11520-3357

Mailing address

294 W Merrick Rd Ste 7
Freeport, NY 11520-3357
Phone (516) 628-9405

Other names 1

  • Haitian - American of Long Island Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://hcrm.businesscat.com/ Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1356000475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD STE 7",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203357",
            "telephone_number": "516-628-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 W MERRICK RD STE 7",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203357",
            "telephone_number": "516-628-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAITIAN AMERICAN FAMILY OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "EMMANUEL-GARCY",
        "authorized_official_first_name": "MARYSE",
        "authorized_official_middle_name": "LAMERCIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "151-652-4672",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://hcrm.businesscat.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "294 W Merrick Rd Ste 7",
            "city": "Freeport",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115203357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Haitian - American of Long Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.