Macedonia Support Network, Inc.

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

MACEDONIA SUPPORT NETWORK, INC.

Practice address

11341 Farmers Blvd
Saint Albans, NY 11412-2425

Phone

(914) 258-7547

NPI assigned

Sep 16, 2014

Last updated

Sep 16, 2014By 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

Dr. James Gordon, PH.DNPI 1376945915

Title

President

Phone

(914) 258-7547

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Antonio Gordon, PH.D

  • Pastoral Counselor
  • Saint Albans, NY
  • NPI 1376945915
  Authorized official Same address or phone

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1912309402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11341 FARMERS BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122425",
            "telephone_number": "914-258-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11341 FARMERS BLVD",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122425",
            "telephone_number": "914-258-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACEDONIA SUPPORT NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-258-7547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovingcare Diabetes Program @ Albright Medical
• Angie Lovinsky
• Kevin L Lowe, MD
• Dwayne Oneal Lynch, R.N
• Lynette Aneita Lyons, BSN, RN
• Barbara Magloire
• Reeana Mahabir, M.S. ED.
• Maintain Health With Purpose NP in Family Health, PLLC (Maintain Health with Purpose NP)
• Nadesha Maitland
• Marie Anne Mancuso, PMHNP

• Case Manager/Care Coordinator in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.