Active NPI
Deon Antoinette Lofers-Tomlinson
- Behavior Analyst
- Forest Hills, NY
National Provider Identifier
1245010644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 90405
- Practice address
- 11821 Queens Blvd Ste 602
Forest Hills, NY 11375-7206 - Phone
- (929) 372-7188
- NPI assigned
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 90405 | NY | |
| Behavior Analyst | 103K00000X | 90405 | NY | Primary |
Addresses
Primary practice location
11821 Queens Blvd Ste 602
Forest Hills, NY 11375-7206
Mailing address
11821 Queens Blvd Ste 612
Forest Hills, NY 11375-7206
Phone (929) 372-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90405 | NY | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M & R Kids LLC | Behavior Analyst | Current | Accepting new patients |
Locations
11821 Queens Blvd
Ste 612
Forest Hills, NY 11375
Phone (917) 691-0156
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1245010644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11821 QUEENS BLVD STE 612",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757206",
"telephone_number": "929-372-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11821 QUEENS BLVD STE 602",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757206",
"telephone_number": "929-372-7188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOFERS-TOMLINSON",
"first_name": "DEON",
"middle_name": "ANTOINETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "90405",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "90405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.