NPIMap

Organization Active NPI

Essex County Public Health Nursing Service

  • Early Intervention Provider Agency
  • Elizabethtown, NY
National Provider Identifier
1417100645
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ESSEX COUNTY PUBLIC HEALTH NURSING SERVICE
Practice address
132 Water St.
Elizabethtown, NY 12932-0217
Phone
(518) 873-3500
Fax
(518) 873-3539
NPI assigned
Oct 31, 2008
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Mr. John Dana Knox
Title
Fiscal Administrator
Phone
(518) 873-3503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

132 Water St.
Elizabethtown, NY 12932-0217

Mailing address

PO Box 217
132 Water Street
Elizabethtown, NY 12932-0217
Phone (518) 873-5300

Other identifiers 1

IdentifierTypeStateIssuer
03324201MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Essex County Transportation8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1417100645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 217",
            "address_2": "132 WATER STREET",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320217",
            "telephone_number": "518-873-5300",
            "fax_number": "518-873-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WATER ST.",
            "city": "ELIZABETHTOWN",
            "state": "NY",
            "postal_code": "129320217",
            "telephone_number": "518-873-3500",
            "fax_number": "518-873-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSEX COUNTY PUBLIC HEALTH NURSING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DANA",
        "authorized_official_title_or_position": "FISCAL ADMINISTRATOR",
        "authorized_official_telephone_number": "518-873-3503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03324201",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.