Organization Active NPI

Jamie Defazio

  • Home Health Agency
  • Richfield Springs, NY
National Provider Identifier
1639535529
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
648245377 Issued in NY
Legal business name
JAMIE DEFAZIO
Practice address
3755 U.S. Highway 20
Richfield Springs, NY 13439
Phone
(845) 332-6810
NPI assigned
Jan 7, 2016
Last updated
Jan 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Jamie E Defazio
Title
Owner
Phone
(845) 332-6810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 648245377 NY Primary

Addresses

Primary practice location

3755 U.S. Highway 20
Richfield Springs, NY 13439

Mailing address

3755 U.S. Highway 20
Richfield Springs, NY 13439
Phone (845) 332-6810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1639535529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 U.S. HIGHWAY 20",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "13439",
            "telephone_number": "845-332-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 U.S. HIGHWAY 20",
            "city": "RICHFIELD SPRINGS",
            "state": "NY",
            "postal_code": "13439",
            "telephone_number": "845-332-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE DEFAZIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "DEFAZIO",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-332-6810"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "648245377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.