NPIMap

Organization Active NPI

Alice Hyde Medical Center Eip

  • Early Intervention Provider Agency
  • Malone, NY
National Provider Identifier
1437696390
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1624000H Issued in NY
Legal business name
ALICE HYDE MEDICAL CENTER EIP
Practice address
133 Park St
Malone, NY 12953-1244
Phone
(518) 483-3000
Fax
(518) 481-2818
NPI assigned
Jan 30, 2017
Last updated
Jan 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Sean Curtin
Title
Cfo
Phone
(518) 481-2847

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1624000H NY Primary

Addresses

Primary practice location

133 Park St
Malone, NY 12953-1244

Mailing address

133 Park St
Malone, NY 12953-1244
Phone (518) 483-3000

Other identifiers 1

IdentifierTypeStateIssuer
00354114MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Rachel Sasseville5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1485734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1437696390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531244",
            "telephone_number": "518-483-3000",
            "fax_number": "518-481-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 PARK ST",
            "city": "MALONE",
            "state": "NY",
            "postal_code": "129531244",
            "telephone_number": "518-483-3000",
            "fax_number": "518-481-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE HYDE MEDICAL CENTER EIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "CURTIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-481-2847"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1624000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00354114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.