Active NPI
Gamma Brainwaves Inc
- Early Intervention Provider Agency
- Staten Island, NY
National Provider Identifier
1134738446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karine Mirzoyan, MSED
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1164853263
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.