Organization Active NPI

Dept of Education,Nyc

  • Public Health or Welfare Agency
  • Staten Island, NY
National Provider Identifier
1962777565
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
346200-1 Issued in NY
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

Updated by the provider on Mar 15, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0398275MedicaidNY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.