Provider Type Icon

EAST END DISABILITY ASSOCIATES INC. NPI 1295938199


NPI Information

NPI: 1295938199
Provider Name: EAST END DISABILITY ASSOCIATES INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
107 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 369-7345
Get Directions

EAST END DISABILITY ASSOCIATES INC. is a day training developmentally disabled services in Riverhead, NY. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. EAST END DISABILITY ASSOCIATES INC. NPI is 1295938199. The provider is registered as an organization entity type.

The provider's business location address is:

107 ROANOKE AVE
RIVERHEAD, NY
ZIP 11901-700
Phone: (631) 369-7345
Fax: (631) 369-7346

The provider's authorized official is James W Martinsen .
The authorized official title is Cfo and has the following contact phone number (631) 369-7345.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101933095MEDICAIDNEW YORK
202259709MEDICAIDNEW YORK
302252853MEDICAIDNEW YORK
402594127MEDICAIDNEW YORK
502663963MEDICAIDNEW YORK
601998269MEDICAIDNEW YORK
702698406MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.