NPIMap

Organization Active NPI

Sanctuary East LTD.

  • Recovery Care Clinic/Center
  • East Islip, NY
National Provider Identifier
1508801549
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
License
F400086-1 Issued in NY
Legal business name
SANCTUARY EAST LTD.
Practice address
2 William Ave
East Islip, NY 11730-2330
Phone
(631) 224-7700
NPI assigned
Jun 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Gerry Gallagher
Title
Director
Phone
(631) 224-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X F400086-1 NY Primary

Addresses

Primary practice location

2 William Ave
East Islip, NY 11730-2330

Mailing address

2 William Ave
East Islip, NY 11730-2330

Other identifiers 1

IdentifierTypeStateIssuer
F400086-1OtherNYLICENSE NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508801549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WILLIAM AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WILLIAM AVE",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302330",
            "telephone_number": "631-224-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANCTUARY EAST LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "GERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-224-7700"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NY",
            "license": "F400086-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "F400086-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.