Act on It Early Intervention

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ACT ON IT EARLY INTERVENTION

Practice address

7515 Main St
Flushing, NY 11367-2420

Phone

(718) 213-3140

Fax

(929) 244-7107

NPI assigned

Oct 2, 2017

Organization subpart

No

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

Authorized official

Name

Roxane Pinkhasov

Title

Program Director

Phone

(718) 213-3140

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1003326265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672420",
            "telephone_number": "718-213-3140",
            "fax_number": "929-244-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 MAIN ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672420",
            "telephone_number": "718-213-3140",
            "fax_number": "929-244-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACT ON IT EARLY INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "PINKHASOV",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-213-3140"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.