Organization Active NPI

Young Adults With Special Abilities

  • Developmentally Disabled Services Day Training Agency
  • Astoria, NY
National Provider Identifier
1831495720
Registry record updated Feb 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
YOUNG ADULTS WITH SPECIAL ABILITIES
Practice address
3055 21St St
Astoria, NY 11102-3669
Phone
(718) 626-6700
Fax
(718) 626-6705
NPI assigned
Feb 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2011

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

Authorized official

Name
Mr. Gus Goussetis
Title
Executive Director
Phone
(718) 626-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3055 21St St
Astoria, NY 11102-3669

Mailing address

3055 21St St
Astoria, NY 11102-3669
Phone (718) 626-6700

National Provider Directory

National Provider Directory
Tax ID family
Young Adults With Special Abilities2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3055 21st St
Astoria, NY 11102
Phone (718) 267-0513

NPI Registry JSON

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1831495720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023669",
            "telephone_number": "718-626-6700",
            "fax_number": "718-626-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 21ST ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023669",
            "telephone_number": "718-626-6700",
            "fax_number": "718-626-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG ADULTS WITH SPECIAL ABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "GOUSSETIS",
        "authorized_official_first_name": "GUS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-626-6700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; 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.