Organization Active NPI

Shoreham-Wading River Central School District

  • Local Education Agency (LEA)
  • Shoreham, NY
National Provider Identifier
1447306378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SHOREHAM-WADING RIVER CENTRAL SCHOOL DISTRICT
Practice address
250B Route 25a
Shoreham, NY 11786-2106
Phone
(631) 821-8100
Fax
(631) 929-3001
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald John Palumberi
Title
Business Manager
Phone
(631) 821-8110

Specialties & licenses 1

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

Addresses

Primary practice location

250B Route 25a
Shoreham, NY 11786-2106

Mailing address

250B Route 25a
Shoreham, NY 11786-2106
Phone (631) 821-8100

Other identifiers 1

IdentifierTypeStateIssuer
01383471MedicaidNY

National Provider Directory

National Provider Directory

Locations

250B Route 25A
Shoreham, NY 11786
Phone (631) 821-8100

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447306378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250B ROUTE 25A",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862106",
            "telephone_number": "631-821-8100",
            "fax_number": "631-929-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250B ROUTE 25A",
            "city": "SHOREHAM",
            "state": "NY",
            "postal_code": "117862106",
            "telephone_number": "631-821-8100",
            "fax_number": "631-929-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOREHAM-WADING RIVER CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALUMBERI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "631-821-8110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01383471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.