Organization Active NPI

Kiryas Joel Village U F S D

  • Local Education Agency (LEA)
  • Monroe, NY
National Provider Identifier
1619014248
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KIRYAS JOEL VILLAGE U F S D
Practice address
1 Dinev Rd
Monroe, NY 10950-6487
Phone
(845) 782-7510
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Joel Petlin
Title
Superintendent
Phone
(845) 782-2300

Specialties & licenses 1

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

Addresses

Primary practice location

1 Dinev Rd
Monroe, NY 10950-6487

Mailing address

48 Bakertown Rd
401
Monroe, NY 10950-8428
Phone (845) 782-2300

Other identifiers 1

IdentifierTypeStateIssuer
01377619MedicaidNY

Other names 1

  • KJUFSD Other name

National Provider Directory

National Provider Directory
Tax ID family
Kiryas Joel Union Fee School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

48 Bakertown Rd
Ste 401
Monroe, NY 10950
Phone (845) 782-2300

1 Dinev Rd
Monroe, NY 10950
Phone (845) 782-2300

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1619014248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BAKERTOWN RD",
            "address_2": "401",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109508428",
            "telephone_number": "845-782-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DINEV RD",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109506487",
            "telephone_number": "845-782-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRYAS JOEL VILLAGE U F S D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "PETLIN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "845-782-2300"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KJUFSD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.