Island Interventions

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

122482175 Issued in NY

Legal business name

ISLAND INTERVENTIONS

Practice address

106 Springdale Dr
Ronkonkoma, NY 11779-5934

Phone

(631) 521-3548

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Ralph J Barone, BCBA

Title

President

Phone

(631) 521-3548

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1124364666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SPRINGDALE DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "11779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SPRINGDALE DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117795934",
            "telephone_number": "631-521-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND INTERVENTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "BARONE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-521-3548",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "122482175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.