NPIMap

Organization Active NPI

Martin de Porres

  • School Social Worker
  • Elmont, NY
National Provider Identifier
1649580861
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
6455725 Issued in NY
Legal business name
MARTIN DE PORRES
Practice address
621 Elmont Rd
Elmont, NY 11003-4028
Phone
(516) 502-2840
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Edward Dana
Title
Director of Related Services
Phone
(516) 502-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041S0200X 6455725 NY Primary

Addresses

Primary practice location

621 Elmont Rd
Elmont, NY 11003-4028

Mailing address

621 Elmont Rd
Elmont, NY 11003-4028
Phone (516) 502-2840

National Provider Directory

National Provider Directory
Tax ID family
Martin de Porres5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1649580861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034028",
            "telephone_number": "516-502-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 ELMONT RD",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034028",
            "telephone_number": "516-502-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN DE PORRES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "DANA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR OF RELATED SERVICES",
        "authorized_official_telephone_number": "516-502-2840"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "6455725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.