NPIMap

Organization Active NPI

Roosevelt Childrens Center

  • Community/Behavioral Health Agency
  • Newark N, NY
National Provider Identifier
1619128915
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
444295-1 Issued in NY
Legal business name
ROOSEVELT CHILDRENS CENTER
Practice address
848 Peirson Avenue
Newark N, NY 14513-9762
Phone
(315) 331-2086
NPI assigned
Oct 6, 2008
Last updated
Oct 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Authorized official

Name
Ms. Diane M. Peters, REGISTERED NURSE
Title
Registered Nurse
Phone
(315) 331-5001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 444295-1 NY Primary

Addresses

Primary practice location

848 Peirson Avenue
Newark N, NY 14513-9762

Mailing address

848 Peirson Avenue
Newark N, NY 14513-9762
Phone (315) 331-2086

National Provider Directory

National Provider Directory
Tax ID family
Roosevelt Childrens Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1619128915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 PEIRSON AVENUE",
            "city": "NEWARK N",
            "state": "NY",
            "postal_code": "145139762",
            "telephone_number": "315-331-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 PEIRSON AVENUE",
            "city": "NEWARK N",
            "state": "NY",
            "postal_code": "145139762",
            "telephone_number": "315-331-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT CHILDRENS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "315-331-5001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "444295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.