Jmpeterkin Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

022656-1 Issued in NY

Legal business name

JMPETERKIN INC.

Practice address

3886 Amundson Ave
Bronx, NY 10466-5921

Phone

(718) 324-3813

NPI assigned

Jun 4, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Janice M Peterkin, MSED, SLPNPI 1528329521

Title

Speech Pathologist/Owner

Phone

(718) 324-3813

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.

• Janice M Peterkin, MSED, TSHH

  • Speech-Language Assistant
  • Bronx, NY
  • NPI 1528329521
  NPD (past) Authorized official

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1043690068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3886 AMUNDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665921",
            "telephone_number": "718-324-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3886 AMUNDSON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665921",
            "telephone_number": "718-324-3813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMPETERKIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "PETERKIN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "718-324-3813",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED, SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "022656-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, 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 Jun 4, 2015; 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.