Active NPI
Economic Opportunity Council of Suffolk, Inc.
- Case Management Agency
- Central Islip, NY
National Provider Identifier
1619119237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01998310 | Medicaid | NY | |
| 01494586 | Medicaid | NY | |
| 03062879 | Medicaid | NY | |
| 02597395 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.