Organization Active NPI

Jewish Family Service of Orange County, Inc

  • Voluntary or Charitable Agency
  • Middletown, NY
National Provider Identifier
1780605485
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
JEWISH FAMILY SERVICE OF ORANGE COUNTY, INC
Practice address
92 Seward Ave
Suite 7
Middletown, NY 10940-1916
Phone
(845) 341-1173
Fax
(845) 342-6436
NPI assigned
Jul 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elizabeth Kadesh, LCSWNPI 1275556797
Title
Executive Director
Phone
(845) 341-1173

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
Voluntary or Charitable Agency 251V00000X NU Primary

Addresses

Primary practice location

92 Seward Ave
Suite 7
Middletown, NY 10940-1916

Mailing address

92 Seward Ave
Suite 7
Middletown, NY 10940-1916
Phone (845) 341-1173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318001279 NY Part B Supplier - Clinic/Group Practice 4284524505 Receives reassigned benefits from 2 practitioners
Practice locations: Middletown, NY

National Provider Directory

National Provider Directory

Locations

720 Route 17M
Middletown, NY 10940
Phone (845) 320-2330

92 Seward Ave
Ste 7
Middletown, NY 10940
Phone (845) 341-1173

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780605485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 SEWARD AVE",
            "address_2": "SUITE 7",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401916",
            "telephone_number": "845-341-1173",
            "fax_number": "845-342-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 SEWARD AVE",
            "address_2": "SUITE 7",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109401916",
            "telephone_number": "845-341-1173",
            "fax_number": "845-342-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEWISH FAMILY SERVICE OF ORANGE COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KADESH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "845-341-1173",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.