NPIMap

Organization Active NPI

Suburban Adult Services-Inc.

  • Developmentally Disabled Services Day Training Agency
  • Elma, NY
National Provider Identifier
1528081734
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
SUBURBAN ADULT SERVICES-INC.
Practice address
960 West Maple Court
Elma, NY 14059-9530
Phone
(716) 805-1555
Fax
(716) 805-1441
NPI assigned
Jul 26, 2006
Last updated
Apr 30, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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

Authorized official

Name
Mr. Anthony J Annuziato
Title
Executive Director
Phone
(716) 805-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

960 West Maple Court
Elma, NY 14059-9530

Mailing address

960 West Maple Court
Elma, NY 14059-9530
Phone (716) 805-1555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061107000054 NY Part B Supplier - Clinic/Group Practice 1658378583 Receives reassigned benefits from 16 practitioners
Practice locations: East Aurora, NY; Elma, NY; Sardinia, NY

National Provider Directory

National Provider Directory

Locations

601 Oakwood Ave
East Aurora, NY 14052
Phone (716) 655-3225

960 W Maple Ct
Elma, NY 14059
Phone (716) 805-1440

Practitioners & affiliated clinicians

Practitioners 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1528081734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599530",
            "telephone_number": "716-805-1555",
            "fax_number": "716-805-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 WEST MAPLE COURT",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599530",
            "telephone_number": "716-805-1555",
            "fax_number": "716-805-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ADULT SERVICES-INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "ANNUZIATO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-805-1555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.