Individual provider Active NPI

Amy Mendolia, M.S.ED

  • Local Education Agency (LEA)
  • Syosset, NY
National Provider Identifier
1699803734
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Practice address
47 Humphrey Dr
Syosset, NY 11791-4022
Phone
(516) 921-7171
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NY Primary

Addresses

Primary practice location

47 Humphrey Dr
Syosset, NY 11791-4022

Mailing address

203 Sedgewick St
Huntington Station, NY 11746-1513
Phone (631) 670-7018

Other names 1

  • Amy Garber Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1699803734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 SEDGEWICK ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461513",
            "telephone_number": "631-670-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HUMPHREY DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914022",
            "telephone_number": "516-921-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOLIA",
        "first_name": "AMY",
        "credential": "M.S.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "GARBER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.