Jeniffer Mundy

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

14550 222ND St
Springfield Gardens, NY 11413-3428

Phone

(718) 598-5650

NPI assigned

May 25, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1124476668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 222ND ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 222ND ST",
            "city": "SPRINGFIELD GARDENS",
            "state": "NY",
            "postal_code": "114133428",
            "telephone_number": "718-598-5650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "JENIFFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "932257193",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet G a Morgan
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• Tamanna Nahar, MD
• Lynette Neal-Thomas, TEACHER
• Neville a Flowers P T P C
• New Era Medical
• New Start Family Medical PC

• Early Intervention Provider Agency in Springfield Gardens, NY
• Providers in Springfield Gardens, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.