Progressive Strides, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PROGRESSIVE STRIDES, INC

Doing business as

na

Practice address

4023 Murdock Ave
Bronx, NY 10466-2322

Phone

(347) 886-0257

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Beverley D Adjmul, LMSWNPI 1114464997

Title

President/

Phone

(347) 886-0257

Specialties & licenses 2

Addresses

Other names 1

• na Doing business as

Practitioners 1

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

• Beverley D Adjmul

  • Clinical Social Worker
  • Bronx, NY
  • NPI 1114464997
  NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629676800000",
    "number": "1174100457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 MURDOCK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662322",
            "telephone_number": "347-886-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 MURDOCK AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662322",
            "telephone_number": "347-886-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE STRIDES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-22",
        "status": "A",
        "authorized_official_last_name": "ADJMUL",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/",
        "authorized_official_telephone_number": "347-886-0257",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "na",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "na",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.