NPIMap

Organization Active NPI

Indian River Central School

  • Local Education Agency (LEA)
  • Evans Mills, NY
National Provider Identifier
1780953257
Registry record updated Dec 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
305177.1 Issued in NY
Legal business name
INDIAN RIVER CENTRAL SCHOOL
Practice address
8442 S Main Street
Evans Mills, NY 13637
Phone
(315) 629-4331
Fax
(315) 629-5257
NPI assigned
Dec 29, 2011
Last updated
Dec 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2011

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

Authorized official

Name
Mrs. Judy Ann Stoffel, REGISTERED NURSENPI 1700156080
Title
School Nurse
Phone
(315) 629-4331

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
Local Education Agency (LEA) 251300000X 305177.1 NY Primary

Addresses

Primary practice location

8442 S Main Street
Evans Mills, NY 13637

Mailing address

8442 S Main Street
Evans Mills Primary School
Evans Mills, NY 13637
Phone (315) 629-4331

Other identifiers 1

IdentifierTypeStateIssuer
01423858MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Indian River Central School2 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.

Locations

8442 S Main St
Evans Mills, NY 13637
Phone (315) 629-4331

Practitioners & affiliated clinicians

Practitioners 1

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": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1780953257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8442 S MAIN STREET",
            "address_2": "EVANS MILLS PRIMARY SCHOOL",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "13637",
            "telephone_number": "315-629-4331",
            "fax_number": "315-629-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8442 S MAIN STREET",
            "city": "EVANS MILLS",
            "state": "NY",
            "postal_code": "13637",
            "telephone_number": "315-629-4331",
            "fax_number": "315-629-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER CENTRAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "STOFFEL",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "315-629-4331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "305177.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01423858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans Mills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.