Active NPI
Mill Neck Foundation, Inc
- Local Education Agency (LEA)
- Mill Neck, NY
National Provider Identifier
1700939030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- MILL NECK FOUNDATION, INC
- Practice address
- 40 Frost Mill Rd
Mill Neck, NY 11765-1102 - Phone
- (516) 628-4200
- Fax
- (516) 922-1773
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. William S Charon
- Title
- Business Manager
- Phone
- (516) 628-4212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
40 Frost Mill Rd
Mill Neck, NY 11765-1102
Mailing address
PO Box 100
Mill Neck, NY 11765-0100
Phone (516) 628-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01479450 | Medicaid | NY |
Other names 1
- MILL NECK AUDIOLOGY
National Provider Directory
National Provider DirectoryLocations
40 Frost Mill Rd
Mill Neck, NY 11765
Phone (516) 628-4268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260144000000",
"number": "1700939030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100",
"city": "MILL NECK",
"state": "NY",
"postal_code": "117650100",
"telephone_number": "516-628-4200",
"fax_number": "516-922-1773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 FROST MILL RD",
"city": "MILL NECK",
"state": "NY",
"postal_code": "117651102",
"telephone_number": "516-628-4200",
"fax_number": "516-922-1773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILL NECK FOUNDATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2009-12-07",
"status": "A",
"authorized_official_last_name": "CHARON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "516-628-4212",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01479450",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MILL NECK AUDIOLOGY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mill Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.