Organization Active NPI

Mill Neck Foundation, Inc

  • Local Education Agency (LEA)
  • Mill Neck, NY
National Provider Identifier
1700939030
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
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

Updated by the provider on Dec 7, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01479450MedicaidNY

Other names 1

  • MILL NECK AUDIOLOGY Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.