NPIMap

Organization Active NPI

Patchogue-Medford School District

  • School Social Worker
  • Medford, NY
National Provider Identifier
1790047694
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
Legal business name
PATCHOGUE-MEDFORD SCHOOL DISTRICT
Practice address
181 Buffalo Ave
Medford, NY 11763-3752
Phone
(631) 687-6500
NPI assigned
Jun 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Marjory Bernstein, MPSY
Title
Assistant Superintendent
Phone
(631) 687-6400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X NY
School Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041S0200X Primary

Addresses

Primary practice location

181 Buffalo Ave
Medford, NY 11763-3752

Mailing address

241 S Ocean Ave
Patchogue, NY 11772-3732
Phone (631) 687-6000

National Provider Directory

National Provider Directory
Tax ID family
Patchogue-Medford School District2 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

181 Buffalo Ave
Medford, NY 11763
Phone (631) 474-2054

241 S Ocean Ave
Patchogue, NY 11772
Phone (631) 684-6440

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1790047694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723732",
            "telephone_number": "631-687-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 BUFFALO AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633752",
            "telephone_number": "631-687-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE-MEDFORD SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MARJORY",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "631-687-6400",
        "authorized_official_credential": "MPSY"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.