NPIMap

Organization Active NPI

Dunderty Enterprise LLC.

  • Developmentally Disabled Services Day Training Agency
  • Brentwood, NY
National Provider Identifier
1942842232
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
DUNDERTY ENTERPRISE LLC.
Doing business as
dunDerty Enterprise LLC
Practice address
119 Thomas St
Brentwood, NY 11717-1218
Phone
(770) 713-9158
NPI assigned
Oct 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Authorized official

Name
Mr. Gerald J Jordan, MS
Title
Ceo
Phone
(770) 713-9158

Specialties & licenses 1

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

Addresses

Primary practice location

119 Thomas St
Brentwood, NY 11717-1218

Mailing address

119 Thomas St
Brentwood, NY 11717-1218
Phone (770) 713-9158

Other names 1

  • dunDerty Enterprise LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dunderty Enterprise2 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.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1942842232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 THOMAS ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171218",
            "telephone_number": "770-713-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 THOMAS ST",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171218",
            "telephone_number": "770-713-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDERTY ENTERPRISE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-713-9158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dunDerty Enterprise LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.