Organization Active NPI

David S. Erdos, LLC

  • Early Intervention Provider Agency
  • Hewlett, NY
National Provider Identifier
1235585290
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
012143 Issued in NY
Legal business name
DAVID S. ERDOS, LLC
Practice address
1610 Hereford Rd
Hewlett, NY 11557-1804
Phone
(917) 691-7416
Fax
(516) 791-3444
NPI assigned
May 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Authorized official

Name
Mr. David S. ErdosNPI 1215185483
Title
Owner
Phone
(917) 691-7416

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 012143 NY Primary

Addresses

Primary practice location

1610 Hereford Rd
Hewlett, NY 11557-1804

Mailing address

1610 Hereford Rd
Hewlett, NY 11557-1804
Phone (917) 691-7416

Other identifiers 1

IdentifierTypeStateIssuer
03773411MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1235585290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 HEREFORD RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571804",
            "telephone_number": "917-691-7416",
            "fax_number": "516-791-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 HEREFORD RD",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571804",
            "telephone_number": "917-691-7416",
            "fax_number": "516-791-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S. ERDOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "ERDOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-691-7416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "012143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03773411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hewlett, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.