Exceptional Individual Services Corp.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

EXCEPTIONAL INDIVIDUAL SERVICES CORP.

Doing business as

Benny

Practice address

79 Madison Ave
New York, NY 10016-7802

Phone

(917) 740-5169

NPI assigned

Dec 1, 2014

Last updated

Dec 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren Romine

Title

Compliance Officer

Phone

(917) 740-5169

Specialties & licenses 1

Addresses

Other names 1

• Benny Doing business as

Locations

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417392000000",
    "number": "1144627589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 W 116TH ST",
            "address_2": "APT.2B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100167802",
            "telephone_number": "917-740-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEPTIONAL INDIVIDUAL SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-01",
        "last_updated": "2014-12-01",
        "status": "A",
        "authorized_official_last_name": "ROMINE",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "917-740-5169"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Benny",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in New York, NY
• Providers in New York, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2014; 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.