Organization Active NPI

M&J Selene Corp.

  • Developmentally Disabled Services Day Training Agency
  • Bronx, NY
National Provider Identifier
1003521113
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
M&J SELENE CORP.
Practice address
3835 Sedgwick Ave Apt 4a
Bronx, NY 10463-4454
Phone
(347) 278-3747
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
Jataon Selene Whitley, MSNPI 1306109970
Title
Special Education / ABA Therapist
Phone
(347) 278-3747

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
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

3835 Sedgwick Ave Apt 4a
Bronx, NY 10463-4454

Mailing address

3835 Sedgwick Ave Apt 4a
Bronx, NY 10463-4454
Phone (347) 278-3747

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1003521113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SEDGWICK AVE APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634454",
            "telephone_number": "347-278-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SEDGWICK AVE APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104634454",
            "telephone_number": "347-278-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&J SELENE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "JATAON",
        "authorized_official_middle_name": "SELENE",
        "authorized_official_title_or_position": "SPECIAL EDUCATION / ABA THERAPIST",
        "authorized_official_telephone_number": "347-278-3747",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.