Active NPI
John a Coleman School
- Pediatric Skilled Nursing Facility
- Baldwin, NY
National Provider Identifier
1790930501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Skilled Nursing Facility
- License
- 360553-1
- Legal business name
- JOHN A COLEMAN SCHOOL
- Practice address
- 3092 Ann St
Baldwin, NY 11510-4504 - Phone
- (515) 546-7375
- NPI assigned
- Nov 20, 2008
- Last updated
- Nov 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sharon Missan, RN
- Title
- School Nurse
- Phone
- (646) 349-3400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Skilled Nursing Facility | 3140N1450X | 360553-1 | NY | Primary |
Addresses
Primary practice location
3092 Ann St
Baldwin, NY 11510-4504
Mailing address
3092 Ann St
Baldwin, NY 11510-4504
Phone (515) 546-7375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 360553-1 | Other | NY | RN |
National Provider Directory
National Provider Directory- Tax ID family
- Cape Cod Anesthesia Associates
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227139200000",
"number": "1790930501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3092 ANN ST",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104504",
"telephone_number": "515-546-7375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3092 ANN ST",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115104504",
"telephone_number": "515-546-7375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN A COLEMAN SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-20",
"last_updated": "2008-11-20",
"status": "A",
"authorized_official_last_name": "MISSAN",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "SCHOOL NURSE",
"authorized_official_telephone_number": "646-349-3400",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": "NY",
"license": "360553-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "360553-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.