Organization Active NPI

Economic Opportunity Council of Suffolk, Inc.

  • Case Management Agency
  • Central Islip, NY
National Provider Identifier
1619119237
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ECONOMIC OPPORTUNITY COUNCIL OF SUFFOLK, INC.
Practice address
320 Carleton Ave
Suite 7800
Central Islip, NY 11722-4506
Phone
(631) 968-8000
Fax
(631) 968-8131
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Ms. Songhi Scott
Title
Chief Financial Officer
Phone
(631) 289-2124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

320 Carleton Ave
Suite 7800
Central Islip, NY 11722-4506

Mailing address

31 W Main St
Suite 300
Patchogue, NY 11772-3034
Phone (631) 289-2124

Other identifiers 4

IdentifierTypeStateIssuer
01998310MedicaidNY
01494586MedicaidNY
03062879MedicaidNY
02597395MedicaidNY

National Provider Directory

National Provider Directory

Locations

320 Carleton Ave
Ste 7800
Central Islip, NY 11722
Phone (631) 234-7807

31 W Main St
Ste 300
Patchogue, NY 11772

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1619119237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W MAIN ST",
            "address_2": "SUITE 300",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723034",
            "telephone_number": "631-289-2124",
            "fax_number": "631-289-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CARLETON AVE",
            "address_2": "SUITE 7800",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117224506",
            "telephone_number": "631-968-8000",
            "fax_number": "631-968-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMIC OPPORTUNITY COUNCIL OF SUFFOLK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SONGHI",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "631-289-2124",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01998310",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01494586",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03062879",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02597395",
            "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 Oct 13, 2016; 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.