Active NPI
Grow and Glow Incorporated
- Early Intervention Provider Agency
- Bronx, NY
National Provider Identifier
1265866875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 47618
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.