Organization Active NPI

Rockland Child Development Services

  • Early Intervention Provider Agency
  • Suffern, NY
National Provider Identifier
1447400692
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ROCKLAND CHILD DEVELOPMENT SERVICES
Practice address
25 Chestnut St
Suffern, NY 10901-5468
Phone
(845) 357-4733
Fax
(845) 357-4112
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Mrs. Dawn Mastoridis
Title
State Director
Phone
(845) 357-4733

Specialties & licenses 1

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

Addresses

Primary practice location

25 Chestnut St
Suffern, NY 10901-5468

Mailing address

25 Chestnut St
Suffern, NY 10901-5468
Phone (845) 357-4733

National Provider Directory

National Provider Directory

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": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1447400692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CHESTNUT ST",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015468",
            "telephone_number": "845-357-4733",
            "fax_number": "845-357-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHESTNUT ST",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015468",
            "telephone_number": "845-357-4733",
            "fax_number": "845-357-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKLAND CHILD DEVELOPMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "MASTORIDIS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "STATE DIRECTOR",
        "authorized_official_telephone_number": "845-357-4733",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.