Brookhaven Comsewogue Ufsd

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BROOKHAVEN COMSEWOGUE UFSD

Practice address

290 Norwood Ave
Port Jefferson Station, NY 11776-2562

Phone

(631) 474-8116

Fax

(631) 474-8399

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan M Casali

Title

Assistant Superintendent

Phone

(631) 474-8116

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1780734046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 NORWOOD AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762562",
            "telephone_number": "631-474-8116",
            "fax_number": "631-474-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 NORWOOD AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762562",
            "telephone_number": "631-474-8116",
            "fax_number": "631-474-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN COMSEWOGUE UFSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CASALI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "631-474-8116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01411774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Adam Braverman, DPT
• Whitney T Bravo
• Stephen Brazeau, LCSW-R
• Donna Marie Brennan, PH.D.
• Dana L Brenner, MD
• Bruce R Brown, DDS
• Rebecca Brown, RN
• Theresa Brunetto
• James Buchrieser
• Brenna Katherine Buckstein, MSPAS, PA-C

• Local Education Agency (LEA) in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.