Organization Active NPI

Port Jefferson Ufsd

  • Local Education Agency (LEA)
  • Port Jefferson, NY
National Provider Identifier
1629129580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PORT JEFFERSON UFSD
Practice address
550 Scraggy Hill Rd
Port Jefferson, NY 11777-1918
Phone
(631) 476-4404
Fax
(631) 476-4409
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Aloise
Title
Superintendent
Phone
(631) 476-4404

Specialties & licenses 1

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

Addresses

Primary practice location

550 Scraggy Hill Rd
Port Jefferson, NY 11777-1918

Mailing address

550 Scraggy Hill Rd
Port Jefferson, NY 11777-1918
Phone (631) 476-4404

Other identifiers 1

IdentifierTypeStateIssuer
01434160MedicaidNY

National Provider Directory

National Provider Directory

Locations

550 Scraggy Hill Rd
Port Jefferson, NY 11777
Phone (631) 476-4404

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629129580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 SCRAGGY HILL RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771918",
            "telephone_number": "631-476-4404",
            "fax_number": "631-476-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SCRAGGY HILL RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771918",
            "telephone_number": "631-476-4404",
            "fax_number": "631-476-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT JEFFERSON UFSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALOISE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "631-476-4404",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01434160",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.