NPIMap

Organization Active NPI

Federation of Organizations for the Ny State Mentally Disabled Inc

  • Case Management Agency
  • West Brentwood, NY
National Provider Identifier
1497814149
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
02155122 Issued in NY
Legal business name
FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC
Practice address
998 Crooked Hill Rd
Building #55
West Brentwood, NY 11717-1019
Phone
(631) 236-4325
Fax
(631) 236-4123
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Mr. Stephen McCarthy
Title
Chief Financial Officer
Phone
(631) 669-5355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 02155122 NY Primary

Addresses

Primary practice location

998 Crooked Hill Rd
Building #55
West Brentwood, NY 11717-1019

Mailing address

1 Farmingdale Road
Route 109
West Babylon, NY 11704
Phone (631) 669-5355

Other identifiers 1

IdentifierTypeStateIssuer
02155122MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Risewell Community Services30 organizations share this tax ID, including this one

Other organizations with this tax ID 29

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

View all 29

Locations

998 Crooked Hill Rd
Bldg 55
West Brentwood, NY 11717
Phone (631) 236-4299

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1497814149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FARMINGDALE ROAD",
            "address_2": "ROUTE 109",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "11704",
            "telephone_number": "631-669-5355",
            "fax_number": "631-669-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "BUILDING #55",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "117171019",
            "telephone_number": "631-236-4325",
            "fax_number": "631-236-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEDERATION OF ORGANIZATIONS FOR THE NY STATE MENTALLY DISABLED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "MCCARTHY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-669-5355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "02155122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02155122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.