Not Just Kids Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

NOT JUST KIDS INC

Practice address

689 Nicolls Rd
Deer Park, NY 11729-2725

Phone

(631) 300-6153

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Tracy Co0Langelo, MSNPI 1083852214

Title

President

Phone

(631) 300-6153

Specialties & licenses 1

Addresses

Practitioners 1

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

• Tracy Colangelo

  • Contractor
  • Deer Park, NY
  • NPI 1083852214
  NPD Authorized official

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1013557065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 NICOLLS RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292725",
            "telephone_number": "631-300-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 NICOLLS RD",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292725",
            "telephone_number": "631-300-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOT JUST KIDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "CO0LANGELO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-300-6153",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Thang Quoc Nguyen, RPH
• Dina Nicklas
• Nicole Imbasciani Nurse Practitioner in Adult Health PLLC
• Lincy Noble
• North Shore - Lij Cardiology at Deer Park PC
• Nutrition and Diabetes Harmony
• Marissa O'Connor
• Officerx Specialty Pharmacy Inc.
• Cathleen Y Oh
• Edward Henry Olley, LCSW-R

• Early Intervention Provider Agency in Deer Park, NY
• Providers in Deer Park, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.