Active NPI
Northport-East Northport Ufsd
- Local Education Agency (LEA)
- Northport, NY
National Provider Identifier
1992842686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- NORTHPORT-EAST NORTHPORT UFSD
- Practice address
- 158 Laurel Ave
Northport, NY 11768-3167 - Phone
- (631) 262-6616
- Fax
- (631) 262-6621
- NPI assigned
- Jan 31, 2007
- 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
- Mr. John J. Lynch
- Title
- Executive Director of Pupil Service
- Phone
- (631) 262-6616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
158 Laurel Ave
Northport, NY 11768-3167
Mailing address
PO Box 210
Northport, NY 11768-0210
Phone (631) 262-6616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01378541 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
158 Laurel Ave
Northport, NY 11768
Phone (631) 262-6616
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Northport, NY
- NPI 1023393527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992842686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 210",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117680210",
"telephone_number": "631-262-6616",
"fax_number": "631-262-6621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 LAUREL AVE",
"city": "NORTHPORT",
"state": "NY",
"postal_code": "117683167",
"telephone_number": "631-262-6616",
"fax_number": "631-262-6621"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPORT-EAST NORTHPORT UFSD",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LYNCH",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF PUPIL SERVICE",
"authorized_official_telephone_number": "631-262-6616",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01378541",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.