Organization Active NPI

Modest Community Services Association

  • Developmentally Disabled Services Day Training Agency
  • Staten Island, NY
National Provider Identifier
1841818986
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
MODEST COMMUNITY SERVICES ASSOCIATION
Doing business as
Modest Community Services Association
Practice address
88 New Dorp PLZ S Ste 202
Staten Island, NY 10306-2902
Phone
(718) 447-8200
Fax
(718) 504-7966
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Francis Kamara
Title
Lead Accountant
Phone
(718) 447-8200

Specialties & licenses 1

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

Addresses

Primary practice location

88 New Dorp PLZ S Ste 202
Staten Island, NY 10306-2902

Mailing address

88 New Dorp PLZ S Ste 202
Staten Island, NY 10306-2902
Phone (718) 447-8200

Other names 1

  • MODEST COMMUNITY SERVICES ASSOCIATION Doing business as

National Provider Directory

National Provider Directory

Locations

88 New Dorp Plz S
Ste 202
Staten Island, NY 10306
Phone (718) 447-8200

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1841818986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 NEW DORP PLZ S STE 202",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062902",
            "telephone_number": "718-447-8200",
            "fax_number": "718-504-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 NEW DORP PLZ S STE 202",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062902",
            "telephone_number": "718-447-8200",
            "fax_number": "718-504-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODEST COMMUNITY SERVICES ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_title_or_position": "LEAD ACCOUNTANT",
        "authorized_official_telephone_number": "718-447-8200"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MODEST COMMUNITY SERVICES ASSOCIATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.