Organization Active NPI

Grow and Glow Incorporated

  • Early Intervention Provider Agency
  • Bronx, NY
National Provider Identifier
1265866875
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
47618 Issued in NY
Legal business name
GROW AND GLOW INCORPORATED
Practice address
218 Surf Dr
Bronx, NY 10473-2472
Phone
(917) 346-2459
NPI assigned
Aug 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
Georgette E Parks, MSED
Title
Service Provider
Phone
(917) 346-2459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 47618 NY Primary

Addresses

Primary practice location

218 Surf Dr
Bronx, NY 10473-2472

Mailing address

218 Surf Dr
Bronx, NY 10473-2472
Phone (917) 346-2459

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1265866875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 SURF DR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732472",
            "telephone_number": "917-346-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SURF DR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732472",
            "telephone_number": "917-346-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW AND GLOW INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "GEORGETTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SERVICE PROVIDER",
        "authorized_official_telephone_number": "917-346-2459",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "47618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.