Organization Active NPI

Patchogue-Medford Ufsd

  • Local Education Agency (LEA)
  • Patchogue, NY
National Provider Identifier
1821141367
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PATCHOGUE-MEDFORD UFSD
Practice address
121 Saxton St
Office of Pupil Services
Patchogue, NY 11772-1817
Phone
(631) 687-6440
Fax
(631) 687-6459
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Marjory Bernstein
Title
Assistant Superintendent
Phone
(631) 687-6440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

121 Saxton St
Office of Pupil Services
Patchogue, NY 11772-1817

Mailing address

121 Saxton St
Office of Pupil Services
Patchogue, NY 11772-1817
Phone (631) 687-6440

Other identifiers 1

IdentifierTypeStateIssuer
01377233MedicaidNY

National Provider Directory

National Provider Directory

Locations

121 Saxton St
Ofc Of
Patchogue, NY 11772
Phone (631) 687-6440

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821141367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 SAXTON ST",
            "address_2": "OFFICE OF PUPIL SERVICES",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721817",
            "telephone_number": "631-687-6440",
            "fax_number": "631-687-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SAXTON ST",
            "address_2": "OFFICE OF PUPIL SERVICES",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117721817",
            "telephone_number": "631-687-6440",
            "fax_number": "631-687-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHOGUE-MEDFORD UFSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "MARJORY",
        "authorized_official_title_or_position": "ASSISTANT SUPERINTENDENT",
        "authorized_official_telephone_number": "631-687-6440",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377233",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.