Active NPI
Amelia Zephyr, MS.ED
- Early Intervention Provider Agency
- Forest Hills, NY
National Provider Identifier
1154796431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 973793151
- Practice address
- 70-00 Austin Street
Suite 200
Forest Hills, NY 11375 - Phone
- (718) 762-7633
- NPI assigned
- Dec 11, 2015
- Last updated
- Apr 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 973793151 | NY | Primary |
Addresses
Primary practice location
70-00 Austin Street
Suite 200
Forest Hills, NY 11375
Mailing address
349 E 35TH St
Brooklyn, NY 11203-5001
Phone (315) 982-8307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154796431 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 973793151 | NY | MD | Early Intervention Provider Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Foundations LLC | Early Intervention Provider Agency | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Brooklyn, NY
- NPI 1356040372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524528000000",
"number": "1154796431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "349 E 35TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112035001",
"telephone_number": "315-982-8307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70-00 AUSTIN STREET",
"address_2": "SUITE 200",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "11375",
"telephone_number": "718-762-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEPHYR",
"first_name": "AMELIA",
"name_prefix": "Mrs.",
"credential": "MS.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-11",
"last_updated": "2018-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "973793151",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154796431",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.