NPIMap

Organization Active NPI

Itsy Bitsy Inc

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1265012892
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ITSY BITSY INC
Practice address
16 Fairlawn Loop
Staten Island, NY 10308-3509
Phone
(718) 986-9830
NPI assigned
Apr 8, 2021
Last updated
Apr 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Mrs. Marina Semenova, SLPNPI 1992933436
Title
Member, Ceo, Program Director
Phone
(718) 986-9830

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

16 Fairlawn Loop
Staten Island, NY 10308-3509

Mailing address

16 Fairlawn Loop
Staten Island, NY 10308-3509

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1265012892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAIRLAWN LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAIRLAWN LOOP",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083509",
            "telephone_number": "718-986-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITSY BITSY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-08",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "SEMENOVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "MEMBER, CEO, PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "718-986-9830",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.