Jacqueline Schulz

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1774674 Issued in NY

Practice address

6269 65TH St
Middle Village, NY 11379-1028

Phone

(917) 873-8340

NPI assigned

Mar 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jacqueline Delgado Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1225420011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BEVERLY CT",
            "city": "FORT SALONGA",
            "state": "NY",
            "postal_code": "117681427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6269 65TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791028",
            "telephone_number": "917-873-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULZ",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1774674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "931696447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "DELGADO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alizandra Santana
• Steven Jay Saunders, PH.D.
• Lauren Ayn Scalise, M.S., CCC-SLP
• Josef D. Schenker, M.D.
• Elana Schreier, OTR/L
• Melissa Ann Selph, MHC
• John J Serafinko, MASSAGE THERAPIST
• Kelly Samantha Sessa, PHARMD
• Amy Lynn Sevick, NP
• Michael Sforza, PHARMD

• Early Intervention Provider Agency in Middle Village, NY
• Providers in Middle Village, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.