Organization Active NPI

Space Event. LLC

  • Preferred Provider Organization
  • New York, NY
National Provider Identifier
1033543657
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
SPACE EVENT. LLC
Practice address
511 Avenue of the Americas
Suite 721
New York, NY 10011-8436
Phone
(212) 419-4911
NPI assigned
Aug 30, 2013
Last updated
Aug 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Ms. Nekeela DehaarteNPI 1124452297
Title
Director
Phone
(212) 419-4911

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
Preferred Provider Organization 305R00000X NY Primary

Addresses

Primary practice location

511 Avenue of the Americas
Suite 721
New York, NY 10011-8436

Mailing address

511 Avenue of the Americas
Suite 721
New York, NY 10011-8436
Phone (212) 419-4911

Other names 1

  • Space E. LLC Other name

National Provider Directory

National Provider Directory

Locations

511 Ave of the Americas
Ste 721
New York, NY 10011
Phone (212) 419-4911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1033543657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 AVENUE OF THE AMERICAS",
            "address_2": "SUITE 721",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118436",
            "telephone_number": "212-419-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 AVENUE OF THE AMERICAS",
            "address_2": "SUITE 721",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118436",
            "telephone_number": "212-419-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACE EVENT. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "DEHAARTE",
        "authorized_official_first_name": "NEKEELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-419-4911",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Space E. LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.