Malverne Ufsd

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MALVERNE UFSD

Practice address

301 Wicks LN
Malverne, NY 11565-2244

Phone

(516) 887-6405

Fax

(516) 255-1007

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ellen Freeley

Title

Superintendent of Schools

Phone

(516) 887-6405

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477603520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WICKS LN",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652244",
            "telephone_number": "516-887-6405",
            "fax_number": "516-255-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WICKS LN",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115652244",
            "telephone_number": "516-887-6405",
            "fax_number": "516-255-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALVERNE UFSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREELEY",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "SUPERINTENDENT OF SCHOOLS",
        "authorized_official_telephone_number": "516-887-6405",
        "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": "01403016",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Malverne, NY
• Providers in Malverne, NY by specialty
• Local Education Agency (LEA) in New York

• 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.