Organization Active NPI

Pediatric Developmental Services, Inc.

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1184091019
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PEDIATRIC DEVELOPMENTAL SERVICES, INC.
Practice address
501 W 214TH St Apt 43
New York, NY 10034-0648
Phone
(347) 460-1770
NPI assigned
Aug 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

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

Authorized official

Name
Cynthia Paulino, MS ED.NPI 1023449931
Title
Teacher
Phone
(347) 460-1770

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

501 W 214TH St Apt 43
New York, NY 10034-0648

Mailing address

501 W 214TH St Apt 43
New York, NY 10034-0648
Phone (347) 460-1770

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612742400000",
    "number": "1184091019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 214TH ST APT 43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100340648",
            "telephone_number": "347-460-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 214TH ST APT 43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100340648",
            "telephone_number": "347-460-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DEVELOPMENTAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "PAULINO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "347-460-1770",
        "authorized_official_credential": "MS ED."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.