Lisa Gefen, MS ED.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

481347041 Issued in NY

Practice address

1413 Bay 28TH St
Far Rockaway, NY 11691-1703

Phone

(718) 868-3130

Fax

(718) 868-3130

NPI assigned

Oct 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1043563539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 BAY 28TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 BAY 28TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116911703",
            "telephone_number": "718-868-3130",
            "fax_number": "718-868-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFEN",
        "first_name": "LISA",
        "name_prefix": "Mrs.",
        "credential": "MS ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "481347041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Nicole Garrick, NP
• Alexandra Garrity, LCSW
• Junior Gayle
• Stephanie Gbaguidi, BSW
• Hillel Geberer, MSW INTERN
• Rebecca Gefen, PHARMD
• Terry Geist
• Miriam Gelernter Ostreicher
• Shira Gelfand, M.S.CCC
• Naomi Pamela Geller, M.S.

• Early Intervention Provider Agency in Far Rockaway, NY
• Providers in Far Rockaway, 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 Oct 21, 2012; 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.