Department of Education

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

491242-1 Issued in NY

Legal business name

DEPARTMENT OF EDUCATION

Practice address

18910 Radnor Rd
Jamaica Estates, NY 11423-1021

Phone

(718) 468-3742

NPI assigned

Apr 6, 2012

Last updated

Apr 6, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jessy Warren

Title

Registered Nurse

Phone

(718) 464-5763

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1831455518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 COURT ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014926",
            "telephone_number": "718-464-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18910 RADNOR RD",
            "city": "JAMAICA ESTATES",
            "state": "NY",
            "postal_code": "114231021",
            "telephone_number": "718-468-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "718-464-5763",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "NY",
            "license": "491242-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Digestive Diseases & Nutrition LLC
• Beverly Feigelman, LCSW ACSW CASAC
• Natalie Khaimov
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• Sridevi Lokasubramanian, MD

• Pediatric Skilled Nursing Facility in Jamaica Estates, NY
• Providers in Jamaica Estates, NY by specialty
• Pediatric Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.