Kip Enterprise, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

4571417 Issued in NY

Legal business name

KIP ENTERPRISE, INC.

Practice address

306 W 114TH St
#1B
New York, NY 10026-2736

Phone

(917) 724-6257

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kescia I Prioleau, MSED

Title

Founder

Phone

(917) 724-6257

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1265819684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W 114TH ST",
            "address_2": "#1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262736",
            "telephone_number": "917-724-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W 114TH ST",
            "address_2": "#1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262736",
            "telephone_number": "917-724-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP ENTERPRISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "PRIOLEAU",
        "authorized_official_first_name": "KESCIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "917-724-6257",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "4571417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Jarrett Kinslow, MD
• Anaat Elizabeth Kinstler, PT
• Emily Kintzer, MD
• Natalya Kinzburskaya, PHARMD
• Nicholas Kiousenterlis, PHARMD
• Kip W Dolphin MD PLLC
• Anne Fraiman Kipke
• Elina Kipnis, O.D.
• Tamar Kipnis, M.S., LP., LCAT.,
• Claudine Kipp, PA

• Early Intervention Provider Agency in New York, NY
• Providers in New York, 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 May 5, 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.