Organization Active NPI

Gamma Brainwaves Inc

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1134738446
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
GAMMA BRAINWAVES INC
Practice address
151 Gateway Dr
Staten Island, NY 10304-4442
Phone
(646) 334-4322
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Karine Mirzoyan, MSEDNPI 1164853263
Title
Special Educator
Phone
(646) 334-4322

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)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

151 Gateway Dr
Staten Island, NY 10304-4442

Mailing address

151 Gateway Dr
Staten Island, NY 10304-4442
Phone (646) 334-4322

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1134738446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 GATEWAY DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044442",
            "telephone_number": "646-334-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 GATEWAY DR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044442",
            "telephone_number": "646-334-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMA BRAINWAVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "KARINE",
        "authorized_official_title_or_position": "SPECIAL EDUCATOR",
        "authorized_official_telephone_number": "646-334-4322",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.