NPIMap

Organization Active NPI

St.Mary's Healthcare System for Children

  • Exclusive Provider Organization
  • New Hyde Park, NY
National Provider Identifier
1619226750
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
021574 Issued in NY
Legal business name
ST.MARY'S HEALTHCARE SYSTEM FOR CHILDREN
Practice address
5 Dakota Dr
Suite 200
New Hyde Park, NY 11042-1107
Phone
(718) 281-8579
NPI assigned
Sep 5, 2012
Last updated
Sep 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Authorized official

Name
Leah Jane Lavender-Tabar, M.A., CCC-SLP
Title
Speech-Langauge Pathologist
Phone
(917) 670-6781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 021574 NY Primary

Addresses

Primary practice location

5 Dakota Dr
Suite 200
New Hyde Park, NY 11042-1107

Mailing address

5 Dakota Dr
Suite 200
New Hyde Park, NY 11042-1107
Phone (718) 281-8579

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Hospital for Children2 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.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346803200000",
    "number": "1619226750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 DAKOTA DR",
            "address_2": "SUITE 200",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421107",
            "telephone_number": "718-281-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAKOTA DR",
            "address_2": "SUITE 200",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421107",
            "telephone_number": "718-281-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MARY'S HEALTHCARE SYSTEM FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A",
        "authorized_official_last_name": "LAVENDER-TABAR",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SPEECH-LANGAUGE PATHOLOGIST",
        "authorized_official_telephone_number": "917-670-6781",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "021574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; 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.