Individual provider Active NPI

Allison Taitt

  • Early Intervention Provider Agency
  • Rockaway Beach, NY
National Provider Identifier
1104297142
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
221 Beach 80TH St
Apt 2D
Rockaway Beach, NY 11693-2002
Phone
(718) 636-0461
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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 NY Primary

Addresses

Primary practice location

221 Beach 80TH St
Apt 2D
Rockaway Beach, NY 11693-2002

Mailing address

221 Beach 80TH St
Apt. 2 D
Rockaway Beach, NY 11693-2002
Phone (718) 636-0461

Other identifiers 1

IdentifierTypeStateIssuer
252Y00000XOtherNYEARLY INTERVENTION PROVIDER

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

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444953600000",
    "number": "1104297142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 BEACH 80TH ST",
            "address_2": "APT. 2 D",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116932002",
            "telephone_number": "718-636-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BEACH 80TH ST",
            "address_2": "APT 2D",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116932002",
            "telephone_number": "718-636-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAITT",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION PROVIDER",
            "identifier": "252Y00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.