NPIMap

Organization Active NPI

Nysarc Suffolk Chapter

  • Point of Service
  • Bohemia, NY
National Provider Identifier
1871936260
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
NYSARC SUFFOLK CHAPTER
Practice address
45 Crossway E
Bohemia, NY 11716-1204
Phone
(631) 218-4949
Fax
(631) 567-3640
NPI assigned
Apr 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Ms. Patricia Graves, TSHH
Title
Speech Therapist
Phone
(631) 218-4949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X NY Primary

Addresses

Primary practice location

45 Crossway E
Bohemia, NY 11716-1204

Mailing address

45 Crossway E
Bohemia, NY 11716-1204
Phone (631) 218-4949

National Provider Directory

National Provider Directory
Tax ID family
Nysarc Inc Suffolk Chapter16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1871936260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CROSSWAY E",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161204",
            "telephone_number": "631-218-4949",
            "fax_number": "631-567-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CROSSWAY E",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161204",
            "telephone_number": "631-218-4949",
            "fax_number": "631-567-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYSARC SUFFOLK CHAPTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "631-218-4949",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "TSHH"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.