{"npi":"1720009715","type":"NPI-2","status":"active","name":{"display":"United Cerebral Palsy Association Of Nassau County, Inc.","other":[],"organization_name":"UNITED CEREBRAL PALSY ASSOCIATION OF NASSAU COUNTY, INC.","authorised_official":"Ellen Naidus"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"252Y00000X","description":"Early Intervention Provider Agency","primary":false,"state":"NY","license":"280208997798"},{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":"NY","license":"2950200R"}]},"addresses":[{"purpose":"LOCATION","street_1":"380 WASHINGTON AVE","city":"ROOSEVELT","state":"NY","postal_code":"115751845","country_code":"US","phone":"5163782000","fax":"5163772066"},{"purpose":"MAILING","street_1":"380 WASHINGTON AVE","city":"ROOSEVELT","state":"NY","postal_code":"115751899","country_code":"US","phone":"5163782000","fax":"5163772066"}],"license":{"state":"NY","number":"2950200R"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00277207","state":"NY","issuer":null},{"type_code":"01","label":"Other","value":"0030639","state":"NY","issuer":"GHI PROVIDER NUMBER"},{"type_code":"01","label":"Other","value":"CJ9047","state":"NY","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040310001199","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"NY","pac_id":"1153210042"}]},"enumeration_date":"2006-07-22","last_updated":"2016-12-01","_meta":{"source":"NPPES","snapshot_date":"2016-12-01","doc_url":"https://findmynpi.com/api"}}