Organization Active NPI

Theracare

  • Early Intervention Provider Agency
  • Rego Park, NY
National Provider Identifier
1194075598
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
963056906 Issued in NY
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

Updated by the provider on Sep 12, 2012

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.