Organization Active NPI

Kim Tsirigotis

  • Local Education Agency (LEA)
  • Islip Terrace, NY
National Provider Identifier
1821356908
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
KIM TSIRIGOTIS
Practice address
1 Spur Dr S
Islip Terrace, NY 11752-2333
Phone
(631) 581-1882
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Authorized official

Name
Kim Tsirigotis
Title
Speech Language Pathologist
Phone
(631) 581-1882

Specialties & licenses 1

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

Addresses

Primary practice location

1 Spur Dr S
Islip Terrace, NY 11752-2333

Mailing address

1 Spur Dr S
Islip Terrace, NY 11752-2333
Phone (631) 581-1882

Other identifiers 1

IdentifierTypeStateIssuer
01419378MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
East Islip School District3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Spur Dr S
Islip Terrace, NY 11752
Phone (631) 581-1882

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1821356908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPUR DR S",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522333",
            "telephone_number": "631-581-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPUR DR S",
            "city": "ISLIP TERRACE",
            "state": "NY",
            "postal_code": "117522333",
            "telephone_number": "631-581-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM TSIRIGOTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "TSIRIGOTIS",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "631-581-1882"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01419378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip Terrace, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.