NPIMap

Organization Active NPI

Iyaho Social Services Incorporation

Doing business as NA

  • Developmentally Disabled Services Day Training Agency
  • East Orange, NJ
National Provider Identifier
1477999712
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
2510000X Issued in NJ
Legal business name
IYAHO SOCIAL SERVICES INCORPORATION
Doing business as
NA
Practice address
137 Evergreen PL # 3
East Orange, NJ 07018-2005
Phone
(917) 601-0669
NPI assigned
May 14, 2013
Last updated
May 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Henry Eromosele, EXECUTIVE DIRECTOR
Title
Executive Director
Phone
(516) 280-5930

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 2510000X NJ Primary
Intellectual & Developmental Disabilities Psychologist 103TM1800X 10 NJ
Early Intervention Provider Agency 252Y00000X 25 NJ

Addresses

Primary practice location

137 Evergreen PL # 3
East Orange, NJ 07018-2005

Mailing address

71 N Franklin St # 211
Hempstead, NY 11550-3048
Phone (516) 280-5930

Other names 1

  • NA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Iyaho Social Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

137 Evergreen Pl
#3
East Orange, NJ 07018
Phone (917) 601-0669

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1477999712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 N FRANKLIN ST # 211",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503048",
            "telephone_number": "516-280-5930",
            "fax_number": "516-280-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 EVERGREEN PL # 3",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182005",
            "telephone_number": "917-601-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IYAHO SOCIAL SERVICES INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "EROMOSELE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-280-5930",
        "authorized_official_credential": "EXECUTIVE DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NJ",
            "license": "2510000X",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NJ",
            "license": "10",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NJ",
            "license": "25",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.