Active NPI
J&D Therapeutic Intervention, Inc
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1104105584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 024893
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yuliya Polishchuk, PTMS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Physical Therapist
- Brooklyn, NY
- NPI 1396988721
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.