Organization Active NPI

J&D Therapeutic Intervention, Inc

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1104105584
Registry record updated Aug 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
024893 Issued in NY
Legal business name
J&D THERAPEUTIC INTERVENTION, INC
Practice address
3000 Ocean Pkwy Apt 6M
Brooklyn, NY 11235-8328
Phone
(718) 513-3555
NPI assigned
Aug 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2011

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

Authorized official

Name
Yuliya Polishchuk, PTMSNPI 1396988721
Title
President
Phone
(718) 513-3555

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 024893 NY Primary

Addresses

Primary practice location

3000 Ocean Pkwy Apt 6M
Brooklyn, NY 11235-8328

Mailing address

3000 Ocean Pkwy Apt 6M
Brooklyn, NY 11235-8328
Phone (718) 513-3555

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313452800000",
    "number": "1104105584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 6M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358328",
            "telephone_number": "718-513-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 OCEAN PKWY APT 6M",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358328",
            "telephone_number": "718-513-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J&D THERAPEUTIC INTERVENTION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2011-08-16",
        "status": "A",
        "authorized_official_last_name": "POLISHCHUK",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-513-3555",
        "authorized_official_credential": "PTMS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "024893",
            "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 Aug 16, 2011; 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.