Active NPI
Tihira Janair Williams, SPECIAL ED.TEACHER
- Early Intervention Provider Agency
- Rego Park, NY
National Provider Identifier
1063774438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 409323
- Practice address
- 97-77 Queens Blvd
Penthouse
Rego Park, NY 11374 - Phone
- (718) 830-9274
- Fax
- (718) 830-0761
- NPI assigned
- Jun 12, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 409323 | NY | Primary |
Addresses
Primary practice location
97-77 Queens Blvd
Penthouse
Rego Park, NY 11374
Mailing address
214-14 Hillside Ave 2ND Floor
Queens Village, NY 11427
Phone (347) 435-8580
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
| License | State | Type | Specialty |
|---|---|---|---|
| 409323 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1063774438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214-14 HILLSIDE AVE 2ND FLOOR",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "11427",
"telephone_number": "347-435-8580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97-77 QUEENS BLVD",
"address_2": "PENTHOUSE",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-830-9274",
"fax_number": "718-830-0761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TIHIRA",
"middle_name": "JANAIR",
"name_prefix": "Miss",
"credential": "SPECIAL ED.TEACHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "409323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.