Organization Active NPI

Nazly Jordan Inc

  • Early Intervention Provider Agency
  • Astoria, NY
National Provider Identifier
1003349689
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
066358-1 Issued in NY
Legal business name
NAZLY JORDAN INC
Practice address
3520 35TH St
B33
Astoria, NY 11106-1606
Phone
(917) 453-3064
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Nazly Jordan, LMSW, MSEDNPI 1013162015
Title
Social Worker, Special Educator
Phone
(917) 453-3064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 066358-1 NY Primary

Addresses

Primary practice location

3520 35TH St
B33
Astoria, NY 11106-1606

Mailing address

3520 35TH St
B33
Astoria, NY 11106-1606

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1003349689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 35TH ST",
            "address_2": "B33",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 35TH ST",
            "address_2": "B33",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111061606",
            "telephone_number": "917-453-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZLY JORDAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "NAZLY",
        "authorized_official_title_or_position": "SOCIAL WORKER, SPECIAL EDUCATOR",
        "authorized_official_telephone_number": "917-453-3064",
        "authorized_official_credential": "LMSW, MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "066358-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.