Individual provider Active NPI

Andrea K Schwan

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1063755155
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
638131121 Issued in NY
Practice address
132 Arlo Rd
Apt 2B
Staten Island, NY 10301-3805
Phone
(718) 801-3050
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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 638131121 NY Primary

Addresses

Primary practice location

132 Arlo Rd
Apt 2B
Staten Island, NY 10301-3805

Mailing address

132 Arlo Rd
Apt 2B
Staten Island, NY 10301-3805
Phone (718) 801-3050

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

State licenses

LicenseStateTypeSpecialty
638131121NYMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1063755155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ARLO RD",
            "address_2": "APT 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013805",
            "telephone_number": "718-801-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ARLO RD",
            "address_2": "APT 2B",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013805",
            "telephone_number": "718-801-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAN",
        "first_name": "ANDREA",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "638131121",
            "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 Mar 27, 2013; 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.