Individual provider Active NPI

Beth Sandra Mozes, MS ED.

  • Early Intervention Provider Agency
  • Far Rockaway, NY
National Provider Identifier
1043574734
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1080179 Issued in NY
Practice address
816 Lanett Ave
Far Rockaway, NY 11691-5539
Phone
(718) 327-3602
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1080179 NY Primary

Addresses

Primary practice location

816 Lanett Ave
Far Rockaway, NY 11691-5539

Mailing address

816 Lanett Ave
Far Rockaway, NY 11691-5539
Phone (718) 327-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1080179NYMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1043574734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 LANETT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915539",
            "telephone_number": "718-327-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 LANETT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915539",
            "telephone_number": "718-327-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZES",
        "first_name": "BETH",
        "middle_name": "SANDRA",
        "name_prefix": "Mrs.",
        "credential": "MS ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1080179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.