NPIMap

Organization Active NPI

Young Adults With Special Abilities

  • Case Management Agency
  • Astoria, NY
National Provider Identifier
1700024304
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
YOUNG ADULTS WITH SPECIAL ABILITIES
Practice address
3055 21St St
Astoria, NY 11102-3669
Phone
(718) 626-6700
Fax
(718) 626-6705
NPI assigned
Feb 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mr. Gus Goussetis
Title
Ececutive Director
Phone
(646) 920-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3055 21St St
Astoria, NY 11102-3669

Mailing address

3055 21St St
Astoria, NY 11102-3669
Phone (718) 626-6700

National Provider Directory

National Provider Directory
Tax ID family
Young Adults With Special Abilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1700024304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023669",
            "telephone_number": "718-626-6700",
            "fax_number": "718-626-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023669",
            "telephone_number": "718-626-6700",
            "fax_number": "718-626-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG ADULTS WITH SPECIAL ABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "GOUSSETIS",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "ECECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "646-920-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.