Organization Active NPI

Achieve Beyond Oediatric Therapy and Early Intervention Services

  • Early Intervention Provider Agency
  • Middle Island, NY
National Provider Identifier
1154664886
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ACHIEVE BEYOND OEDIATRIC THERAPY AND EARLY INTERVENTION SERVICES
Practice address
1103 Stonegate Way
Middle Island, NY 11953
Phone
(631) 456-9400
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Ms. Melissa Kalieta
Title
Provider Relations Manager
Phone
(631) 835-7780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

1103 Stonegate Way
Middle Island, NY 11953

Mailing address

1103 Stonegate Way
Middle Island, NY 11953-1465
Phone (631) 456-9400

National Provider Directory

National Provider Directory
Tax ID family
Achieve Beyond6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1154664886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 STONEGATE WAY",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531465",
            "telephone_number": "631-456-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 STONEGATE WAY",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "11953",
            "telephone_number": "631-456-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE BEYOND OEDIATRIC THERAPY AND EARLY INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "KALIETA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PROVIDER RELATIONS MANAGER",
        "authorized_official_telephone_number": "631-835-7780",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Island, NY

Sources for this page

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