Active NPI
Dept of Education,Nyc
- Public Health or Welfare Agency
- Staten Island, NY
National Provider Identifier
1962777565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 346200-1
- Legal business name
- DEPT OF EDUCATION,NYC
- Practice address
- 200 Wardwlell Ave
Staten Island, NY 10314 - Phone
- (718) 556-3603
- Fax
- (718) 442-4265
- NPI assigned
- Mar 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Aleyamma Mathew, RN
- Title
- Staff Nurse
- Phone
- (718) 556-3603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 346200-1 | NY | Primary |
Addresses
Primary practice location
200 Wardwlell Ave
Staten Island, NY 10314
Mailing address
195 Hagaman PL
Staten Island, NY 10302-2035
Phone (718) 556-3603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0398275 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
200 Wardwell Ave
Staten Island, NY 10314
Phone (718) 442-0462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331769600000",
"number": "1962777565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 HAGAMAN PL",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103022035",
"telephone_number": "718-556-3603",
"fax_number": "718-720-6851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WARDWLELL AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10314",
"telephone_number": "718-556-3603",
"fax_number": "718-442-4265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEPT OF EDUCATION,NYC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-14",
"last_updated": "2012-03-15",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "ALEYAMMA",
"authorized_official_title_or_position": "STAFF NURSE",
"authorized_official_telephone_number": "718-556-3603",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NY",
"license": "346200-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0398275",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.