Organization Active NPI

Cnetral Islip Ufsd

  • Local Education Agency (LEA)
  • Central Islip, NY
National Provider Identifier
1609926252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CNETRAL ISLIP UFSD
Practice address
50 Wheeler Rd
Central Islip, NY 11722-2154
Phone
(631) 348-5209
Fax
(631) 348-5110
NPI assigned
Jan 12, 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. Kevin M Miller
Title
School Business Administrator
Phone
(631) 348-5209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

50 Wheeler Rd
Central Islip, NY 11722-2154

Mailing address

50 Wheeler Rd
Central Islip, NY 11722-2154
Phone (631) 348-5209

Other identifiers 1

IdentifierTypeStateIssuer
01216788MedicaidNY

National Provider Directory

National Provider Directory

Locations

50 Wheeler Rd
Central Islip, NY 11722
Phone (631) 348-5000

Practitioners & affiliated clinicians

Practitioners 1

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": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609926252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 WHEELER RD",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222154",
            "telephone_number": "631-348-5209",
            "fax_number": "631-348-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WHEELER RD",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117222154",
            "telephone_number": "631-348-5209",
            "fax_number": "631-348-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNETRAL ISLIP UFSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SCHOOL BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "631-348-5209",
        "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": "01216788",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Central 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.