NPIMap

Organization Active NPI

Theracare

  • Early Intervention Provider Agency
  • Bronx, NY
National Provider Identifier
1063775310
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
606668 Issued in NY
Legal business name
THERACARE
Practice address
2510 Westchester Ave
102
Bronx, NY 10461-3512
Phone
(718) 597-5558
Fax
(718) 823-5494
NPI assigned
Jun 21, 2012
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Miss Iris N/a Fuentes I, MSED
Title
Special Instructor
Phone
(718) 597-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 606668 NY Primary

Addresses

Primary practice location

2510 Westchester Ave
102
Bronx, NY 10461-3512

Mailing address

2510 Westchester Avenue
102
New York City, NY 10461-3512
Phone (718) 597-5558

National Provider Directory

National Provider Directory

Locations

2510 Westchester Ave
Ste 102
Bronx, NY 10461

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1063775310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVENUE",
            "address_2": "102",
            "city": "NEW YORK CITY",
            "state": "NY",
            "postal_code": "104613512",
            "telephone_number": "718-597-5558",
            "fax_number": "718-823-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WESTCHESTER AVE",
            "address_2": "102",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104613512",
            "telephone_number": "718-597-5558",
            "fax_number": "718-823-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "N/A",
        "authorized_official_title_or_position": "SPECIAL INSTRUCTOR",
        "authorized_official_telephone_number": "718-597-5558",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "606668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

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

Verify at the official NPI Registry.