Active NPI
Theracare
- Early Intervention Provider Agency
- Rego Park, NY
National Provider Identifier
1194075598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 963056906
- Legal business name
- THERACARE
- Practice address
- 97-77 Queens Blvd
PT
Rego Park, NY 11374 - Phone
- (718) 830-9274
- NPI assigned
- Sep 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cyndia Montero
- Title
- Service Coordinator
- Phone
- (718) 830-9274
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 963056906 | NY | |
| Early Intervention Provider Agency | 252Y00000X | 963056906 | NY | Primary |
Addresses
Primary practice location
97-77 Queens Blvd
PT
Rego Park, NY 11374
Mailing address
92-16 34TH Ave
Apt3E
Jackson Heights, NY 11372
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347408000000",
"number": "1194075598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92-16 34TH AVE",
"address_2": "APT3E",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97-77 QUEENS BLVD",
"address_2": "PT",
"city": "REGO PARK",
"state": "NY",
"postal_code": "11374",
"telephone_number": "718-830-9274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERACARE",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A",
"authorized_official_last_name": "MONTERO",
"authorized_official_first_name": "CYNDIA",
"authorized_official_title_or_position": "SERVICE COORDINATOR",
"authorized_official_telephone_number": "718-830-9274"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NY",
"license": "963056906",
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "963056906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.