Active NPI
Included
- Case Management Agency
- Far Rockaway, NY
National Provider Identifier
1831402676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 069691-1
- Legal business name
- INCLUDED
- Practice address
- 522 Jarvis Ave
Far Rockaway, NY 11691-5426 - Phone
- (917) 282-0453
- NPI assigned
- Jul 22, 2010
- 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
- Sheila Klein
- Title
- Supervisor for Nassau County Servic
- Phone
- (516) 368-8425
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 069691-1 | NY | Primary |
Addresses
Primary practice location
522 Jarvis Ave
Far Rockaway, NY 11691-5426
Mailing address
522 Jarvis Ave
Far Rockaway, NY 11691-5426
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279756800000",
"number": "1831402676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 JARVIS AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 JARVIS AVE",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116915426",
"telephone_number": "917-282-0453"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCLUDED",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A",
"authorized_official_last_name": "KLEIN",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "SUPERVISOR FOR NASSAU COUNTY SERVIC",
"authorized_official_telephone_number": "516-368-8425"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NY",
"license": "069691-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.