NPIMap

Organization Active NPI

Jackson Developmental Center

  • Local Education Agency (LEA)
  • East Elmhurst, NY
National Provider Identifier
1386944965
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JACKSON DEVELOPMENTAL CENTER
Practice address
3136 88TH St
East Elmhurst, NY 11369-1415
Phone
(718) 205-1919
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Authorized official

Name
Vivian Gelman
Title
Executive Director
Phone
(718) 205-1919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

3136 88TH St
East Elmhurst, NY 11369-1415

Mailing address

3136 88TH St
East Elmhurst, NY 11369-1415
Phone (718) 205-1919

National Provider Directory

National Provider Directory

Locations

3136 88th St
Flushing, NY 11369
Phone (718) 205-1919

Practitioners & affiliated clinicians

Practitioners 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1386944965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 88TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691415",
            "telephone_number": "718-205-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 88TH ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691415",
            "telephone_number": "718-205-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON DEVELOPMENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-205-1919"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.