NPIMap

Organization Active NPI

Interline Eap

  • Community/Behavioral Health Agency
  • Jamaica, NY
National Provider Identifier
1003030644
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
01756972 Issued in NY
Legal business name
INTERLINE EAP
Practice address
14839 Hillside Ave
Jamaica, NY 11435-3330
Phone
(718) 206-1368
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Rosanne M Mirando
Title
Medical Biller
Phone
(717) 206-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 01756972 NY Primary

Addresses

Primary practice location

14839 Hillside Ave
Jamaica, NY 11435-3330

Mailing address

14839 Hillside Ave
Jamaica, NY 11435-3330
Phone (718) 206-1368

Other identifiers 1

IdentifierTypeStateIssuer
01756972MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1003030644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14839 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "718-206-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14839 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353330",
            "telephone_number": "718-206-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLINE EAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "MIRANDO",
        "authorized_official_first_name": "ROSANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "717-206-1368",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "01756972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01756972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.