Organization Active NPI

Town of Islip

  • Case Management Agency
  • Islip, NY
National Provider Identifier
1497962583
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TOWN OF ISLIP
Practice address
401 Main St
Room #106
Islip, NY 11751-3560
Phone
(631) 224-5325
Fax
(631) 224-5316
NPI assigned
May 17, 2007
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. Hank Brand
Title
Director
Phone
(631) 224-5325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

401 Main St
Room #106
Islip, NY 11751-3560

Mailing address

401 Main St
Room #106
Islip, NY 11751-3560
Phone (631) 224-5325

Other identifiers 1

IdentifierTypeStateIssuer
01078748MedicaidNY

Other names 1

  • Dept of Human Development - TASA Other name

National Provider Directory

National Provider Directory
Tax ID family
Acceso3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

401 Main St
Rm 106
Islip, NY 11751
Phone (631) 224-5325

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497962583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "address_2": "ROOM #106",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513560",
            "telephone_number": "631-224-5325",
            "fax_number": "631-224-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MAIN ST",
            "address_2": "ROOM #106",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513560",
            "telephone_number": "631-224-5325",
            "fax_number": "631-224-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ISLIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "HANK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-224-5325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01078748",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dept of Human Development - TASA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Islip, 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.