Organization Active NPI

Eastport South Manor Central School District

  • Local Education Agency (LEA)
  • Manorville, NY
National Provider Identifier
1487790606
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
EASTPORT SOUTH MANOR CENTRAL SCHOOL DISTRICT
Practice address
149 Dayton Ave
Manorville, NY 11949-2005
Phone
(631) 874-6735
Fax
(631) 878-6308
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Richard R Snyder, CPA
Title
Assistant Superintendent for Busine
Phone
(631) 874-6735

Specialties & licenses 1

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

Addresses

Primary practice location

149 Dayton Ave
Manorville, NY 11949-2005

Mailing address

149 Dayton Ave
Manorville, NY 11949-2005
Phone (631) 874-6735

Other identifiers 1

IdentifierTypeStateIssuer
02558794MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Eastport South Manor Central School District2 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

149 Dayton Ave
Manorville, NY 11949
Phone (631) 801-3040

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487790606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 DAYTON AVE",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492005",
            "telephone_number": "631-874-6735",
            "fax_number": "631-878-6308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 DAYTON AVE",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492005",
            "telephone_number": "631-874-6735",
            "fax_number": "631-878-6308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPORT SOUTH MANOR CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT FOR BUSINE",
        "authorized_official_telephone_number": "631-874-6735",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02558794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manorville, 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.