Organization Active NPI

Delores James

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Rosedale, NY
National Provider Identifier
1699144675
Registry record updated Sep 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
004196 Issued in NY
Legal business name
DELORES JAMES
Practice address
24412 135TH Ave
Rosedale, NY 11422-1604
Phone
(718) 723-7586
NPI assigned
Sep 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2015

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

Authorized official

Name
Delores James, COTANPI 1750830691
Title
Certified Occupational Therapy Assi
Phone
(718) 723-7586

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 004196 NY Primary

Addresses

Primary practice location

24412 135TH Ave
Rosedale, NY 11422-1604

Mailing address

24412 135TH Ave
Rosedale, NY 11422-1604

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442620800000",
    "number": "1699144675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24412 135TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24412 135TH AVE",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221604",
            "telephone_number": "718-723-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELORES JAMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-19",
        "last_updated": "2015-09-19",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "DELORES",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPY ASSI",
        "authorized_official_telephone_number": "718-723-7586",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "004196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

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