Organization Active NPI

Susan Joseph

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • West Hempstead, NY
National Provider Identifier
1801273222
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
094371-1 Issued in NY
Legal business name
SUSAN JOSEPH
Practice address
631 Jennings Ave
West Hempstead, NY 11552-3707
Phone
(516) 469-7955
Fax
(718) 247-5546
NPI assigned
May 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Susan JosephNPI 1467835306
Title
President
Phone
(516) 469-7955

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
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 094371-1 NY Primary

Addresses

Primary practice location

631 Jennings Ave
West Hempstead, NY 11552-3707

Mailing address

631 Jennings Ave
West Hempstead, NY 11552-3707
Phone (516) 469-7955

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1801273222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 JENNINGS AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523707",
            "telephone_number": "516-469-7955",
            "fax_number": "718-247-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 JENNINGS AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523707",
            "telephone_number": "516-469-7955",
            "fax_number": "718-247-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN JOSEPH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-469-7955"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "094371-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.