Sullivan West Central School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SULLIVAN WEST CENTRAL SCHOOL DISTRICT

Practice address

33 School House Hill Road
Jeffersonville, NY 12764

Phone

(845) 482-4610

Fax

(845) 482-4620

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Alan Derry

Title

Superintendent

Phone

(845) 482-4610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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.

• Eileen Anne Krom, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Jeffersonville, NY
  • NPI 1326473364
  NPD (past)
• Susan Elizabeth Schadt, RN

  • School Registered Nurse
  • Jeffersonville, NY
  • NPI 1568763126
  NPD (past)
• Ilona Winburn

  • Speech-Language Pathologist
  • Jeffersonville, NY
  • NPI 1083106074
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568511251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "address_2": "33 SCHOOLHOUSE ROAD",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "127480308",
            "telephone_number": "845-482-4610",
            "fax_number": "845-482-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 SCHOOL HOUSE HILL ROAD",
            "city": "JEFFERSONVILLE",
            "state": "NY",
            "postal_code": "12764",
            "telephone_number": "845-482-4610",
            "fax_number": "845-482-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN WEST CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERRY",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "845-482-4610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01507946",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ristics, BSN RN
• David Allen Sager, D.C.
• Maegan Rae Sauer, O.D.
• Susan Elizabeth Schadt, RN
• Patricia Ann Scott, LPN
• The W Group at Jeffersonville, LLC (Jeff Senior Living)
• Jerome Edward Triolo, D.D.S.
• Janet Wagner
• Ilona Winburn

• Local Education Agency (LEA) in Jeffersonville, NY
• Providers in Jeffersonville, NY by specialty
• Local Education Agency (LEA) in New York

• 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.