NPIMap

Organization Active NPI

United Cerebral Palsy Assoc of Nassau Cty

  • Developmental Disabilities Clinic/Center
  • Roosevelt, NY
National Provider Identifier
1659419059
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
License
6091300 Issued in NY
Legal business name
UNITED CEREBRAL PALSY ASSOC OF NASSAU CTY
Practice address
380 Washington Ave
Roosevelt, NY 11575-1899
Phone
(516) 378-2000
Fax
(516) 378-1210
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Authorized official

Name
Mr. Anthony T Buccheri
Title
Cfo
Phone
(516) 378-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 6091300 NY Primary

Addresses

Primary practice location

380 Washington Ave
Roosevelt, NY 11575-1899

Mailing address

380 Washington Ave
Roosevelt, NY 11575-1899
Phone (516) 378-2000

Other identifiers 1

IdentifierTypeStateIssuer
00744918MedicaidNY

Other names 1

  • UCP Nassau Other name

National Provider Directory

National Provider Directory
Tax ID family
Ucp Nassau4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424304000000",
    "number": "1659419059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 WASHINGTON AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751899",
            "telephone_number": "516-378-2000",
            "fax_number": "516-378-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 WASHINGTON AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751899",
            "telephone_number": "516-378-2000",
            "fax_number": "516-378-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CEREBRAL PALSY ASSOC OF NASSAU CTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-02-19",
        "status": "A",
        "authorized_official_last_name": "BUCCHERI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-378-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NY",
            "license": "6091300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00744918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCP Nassau",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roosevelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.