NPIMap

Organization Active NPI

Aid to Developmentally Disabled, Inc

  • Intellectual Disabilities Intermediate Care Facility
  • Calverton, NY
National Provider Identifier
1609931567
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
7569441 Issued in NY
Legal business name
AID TO DEVELOPMENTALLY DISABLED, INC
Practice address
351 S River Rd
Calverton, NY 11933-9778
Phone
(631) 369-2765
NPI assigned
Dec 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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. Donald Leonard Rieb
Title
Executive Director
Phone
(631) 727-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 7569441 NY Primary

Addresses

Primary practice location

351 S River Rd
Calverton, NY 11933-9778

Mailing address

901 E Main St
Suite 508
Riverhead, NY 11901-2613
Phone (631) 727-6220

Other identifiers 1

IdentifierTypeStateIssuer
00944454MedicaidNY

Other names 1

  • ADD, Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Add Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

351 S River Rd
Calverton, NY 11933
Phone (631) 369-2765

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609931567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 E MAIN ST",
            "address_2": "SUITE 508",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012613",
            "telephone_number": "631-727-6220",
            "fax_number": "631-727-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 S RIVER RD",
            "city": "CALVERTON",
            "state": "NY",
            "postal_code": "119339778",
            "telephone_number": "631-369-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AID TO DEVELOPMENTALLY DISABLED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIEB",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "631-727-6220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NY",
            "license": "7569441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00944454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADD, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calverton, 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.