Organization Active NPI

Long Beach Reach

  • Community/Behavioral Health Agency
  • Long Beach, NY
National Provider Identifier
1659822609
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
161110851 Issued in NY
Legal business name
LONG BEACH REACH
Practice address
2-12 W Park Ave
Long Beach, NY 11561-2025
Phone
(516) 889-2332
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Mr. Joseph Smith
Title
Executive Director
Phone
(516) 889-2332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 161110851 NY Primary

Addresses

Primary practice location

2-12 W Park Ave
Long Beach, NY 11561-2025

Mailing address

2-12 W Park Ave
Long Beach, NY 11561-2025
Phone (516) 889-2332

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1659822609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2-12 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612025",
            "telephone_number": "516-889-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-12 W PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612025",
            "telephone_number": "516-889-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH REACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-889-2332",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "161110851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.