Organization Active NPI

Yeled V Yalda

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1043572449
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
YELED V YALDA
Practice address
20 Park Hill Cir
Staten Island, NY 10304-3635
Phone
(718) 720-0090
Fax
(718) 720-0280
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Miss Iris Jeannette Jaiman Jr.
Title
Disabilities Coordinator
Phone
(718) 720-0090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

20 Park Hill Cir
Staten Island, NY 10304-3635

Mailing address

20 Park Hill Cir
Staten Island, NY 10304-3635
Phone (718) 720-0090

National Provider Directory

National Provider Directory
Tax ID family
Yeled V'Yalda5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Park Hill Cir
Staten Island, NY 10304
Phone (718) 720-0090

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1043572449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARK HILL CIR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043635",
            "telephone_number": "718-720-0090",
            "fax_number": "718-720-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARK HILL CIR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043635",
            "telephone_number": "718-720-0090",
            "fax_number": "718-720-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELED V YALDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "JAIMAN",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "JEANNETTE",
        "authorized_official_title_or_position": "DISABILITIES COORDINATOR",
        "authorized_official_telephone_number": "718-720-0090",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.