Active NPI
Gina Louise Trilla, B.A., C.A.S., M.S.ED
- Early Intervention Provider Agency
- New Rochelle, NY
National Provider Identifier
1174953418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 844974
- Practice address
- 20 Cedar St Ste 302
New Rochelle, NY 10801-5250 - Phone
- (914) 576-5292
- NPI assigned
- Nov 23, 2013
- 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 | 844974 | NY | Primary |
Addresses
Primary practice location
20 Cedar St Ste 302
New Rochelle, NY 10801-5250
Mailing address
28 Fieldstone Dr Apt 10B
Hartsdale, NY 10530-1523
Phone (845) 220-7526
Other names 1
- Gina Louise Medici
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 844974 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1385164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385164800000",
"number": "1174953418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 FIELDSTONE DR APT 10B",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "105301523",
"telephone_number": "845-220-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CEDAR ST STE 302",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015250",
"telephone_number": "914-576-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRILLA",
"first_name": "GINA",
"middle_name": "LOUISE",
"credential": "B.A., C.A.S., M.S.ED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-23",
"last_updated": "2013-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "844974",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "MEDICI",
"middle_name": "LOUISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.