Organization Active NPI

TKR Inc

  • Early Intervention Provider Agency
  • Smithtown, NY
National Provider Identifier
1194384081
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
TKR INC
Practice address
8 Grassy Pond Dr
Smithtown, NY 11787-4028
Phone
(631) 662-6156
NPI assigned
Jun 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Teresa Mikolanda, MS SP ED
Title
Owner
Phone
(631) 662-6156

Specialties & licenses 1

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

Addresses

Primary practice location

8 Grassy Pond Dr
Smithtown, NY 11787-4028

Mailing address

8 Grassy Pond Dr
Smithtown, NY 11787-4028
Phone (631) 662-6156

Other identifiers 1

IdentifierTypeStateIssuer
1093077745OtherNYNPPES

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1194384081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GRASSY POND DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874028",
            "telephone_number": "631-662-6156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GRASSY POND DR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874028",
            "telephone_number": "631-662-6156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TKR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "MIKOLANDA",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-662-6156",
        "authorized_official_credential": "MS SP ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1093077745",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.