Organization Active NPI

Roosevelt Union Free School District

  • Local Education Agency (LEA)
  • Roosevelt, NY
National Provider Identifier
1407903123
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ROOSEVELT UNION FREE SCHOOL DISTRICT
Practice address
240 Denton PL
Roosevelt, NY 11575-1539
Phone
(516) 345-7850
Fax
(516) 345-7799
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Dr. Dionne Wynn
Title
Director of Pupil Personnel Service
Phone
(516) 345-7850

Specialties & licenses 1

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

Addresses

Primary practice location

240 Denton PL
Roosevelt, NY 11575-1539

Mailing address

240 Denton PL
Roosevelt, NY 11575-1539
Phone (516) 345-7850

Other identifiers 1

IdentifierTypeStateIssuer
01381066MedicaidNY

National Provider Directory

National Provider Directory

Locations

240 Denton Pl
Roosevelt, NY 11575
Phone (516) 345-7850

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1407903123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 DENTON PL",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751539",
            "telephone_number": "516-345-7850",
            "fax_number": "516-345-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 DENTON PL",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751539",
            "telephone_number": "516-345-7850",
            "fax_number": "516-345-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT UNION FREE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "DIONNE",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL PERSONNEL SERVICE",
        "authorized_official_telephone_number": "516-345-7850",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01381066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, NY

Sources for this page

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