Individual provider Active NPI

Mary Kadaa, MSED

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1104383108
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
840425141 Issued in NY
Practice address
1901 Ocean Pkwy
Brooklyn, NY 11223-3056
Phone
(718) 627-4300
NPI assigned
Feb 26, 2019
Last updated
Feb 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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 840425141 NY Primary

Addresses

Primary practice location

1901 Ocean Pkwy
Brooklyn, NY 11223-3056

Mailing address

2314 E 1St St
Brooklyn, NY 11223-5354
Phone (917) 428-5129

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

LicenseStateTypeSpecialty
840425141NYMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1104383108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 E 1ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235354",
            "telephone_number": "917-428-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233056",
            "telephone_number": "718-627-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAA",
        "first_name": "MARY",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "840425141",
            "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 Feb 26, 2019; 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.