NPIMap

Organization Active NPI

St.Marys Healthcare System for Children

  • Early Intervention Provider Agency
  • New Hyde Park, NY
National Provider Identifier
1821430455
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1416829 Issued in NY
Legal business name
ST.MARYS HEALTHCARE SYSTEM FOR CHILDREN
Practice address
5 Dakota Dr Ste 204
New Hyde Park, NY 11042-1109
Phone
(718) 281-8640
NPI assigned
Jul 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Authorized official

Name
Ms. Angie Gospodarczyk
Title
Recruiter of Human Resources
Phone
(718) 281-8640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1416829 NY Primary

Addresses

Primary practice location

5 Dakota Dr Ste 204
New Hyde Park, NY 11042-1109

Mailing address

15218 Union Tpke Apt 10R
Flushing, NY 11367-3926
Phone (917) 254-9080

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": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1821430455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 UNION TPKE APT 10R",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673926",
            "telephone_number": "917-254-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 DAKOTA DR STE 204",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421109",
            "telephone_number": "718-281-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.MARYS HEALTHCARE SYSTEM FOR CHILDREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "GOSPODARCZYK",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "RECRUITER OF HUMAN RESOURCES",
        "authorized_official_telephone_number": "718-281-8640",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1416829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.