Active NPI
Be Proactive Inc
- Health Service Clinic/Center
- Forest Hills, NY
National Provider Identifier
1063126373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- BE PROACTIVE INC
- Practice address
- 11035 72ND Dr Apt 2R
Forest Hills, NY 11375-5518 - Phone
- (347) 233-1717
- NPI assigned
- Jan 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annette Karabolli
- Title
- Specialist
- Phone
- (347) 233-1717
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
11035 72ND Dr Apt 2R
Forest Hills, NY 11375-5518
Mailing address
11035 72ND Dr Apt 2R
Forest Hills, NY 11375-5518
Phone (347) 233-1717
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Queens, NY
- NPI 1023648763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673395200000",
"number": "1063126373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11035 72ND DR APT 2R",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755518",
"telephone_number": "347-233-1717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11035 72ND DR APT 2R",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755518",
"telephone_number": "347-233-1717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE PROACTIVE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-11",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A",
"authorized_official_last_name": "KARABOLLI",
"authorized_official_first_name": "ANNETTE",
"authorized_official_title_or_position": "SPECIALIST",
"authorized_official_telephone_number": "347-233-1717"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.