NPIMap

Organization Active NPI

Mini-Miracles Kiddie Kampus

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1053852756
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MINI-MIRACLES KIDDIE KAMPUS
Practice address
5026 Kings Hwy
Brooklyn, NY 11234-1615
Phone
(718) 338-1637
NPI assigned
Mar 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Mr. Joseph BrownNPI 1528599271
Title
Director
Phone
(718) 930-0037

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
Early Intervention Provider Agency 252Y00000X NY Primary

Addresses

Primary practice location

5026 Kings Hwy
Brooklyn, NY 11234-1615

Mailing address

5026 Kings Hwy
Brooklyn, NY 11234-1615
Phone (718) 930-0037

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1053852756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341615",
            "telephone_number": "718-930-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341615",
            "telephone_number": "718-338-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINI-MIRACLES KIDDIE KAMPUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-930-0037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.