Basic Blocks Therapeutics

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

014025-1 Issued in NY

Legal business name

BASIC BLOCKS THERAPEUTICS

Practice address

7 Marino Blvd
Pomona, NY 10970-3707

Phone

(845) 521-4373

NPI assigned

Feb 18, 2016

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faustina Yawa AdzaNPI 1457567208

Title

Occupational Therapist

Phone

(845) 521-4373

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Faustina Yawa Adza, OTR/L

  • Occupational Therapist
  • Pomona, NY
  • NPI 1457567208
  NPD (past) Authorized official

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1265891337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MARINO BLVD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703707",
            "telephone_number": "845-521-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MARINO BLVD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703707",
            "telephone_number": "845-521-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIC BLOCKS THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "ADZA",
        "authorized_official_first_name": "FAUSTINA",
        "authorized_official_middle_name": "YAWA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "845-521-4373"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "014025-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atara Bachrach, LMSW
• Kimberly Bacon, LMSW
• Joseph Baecher, MSW
• Michael Y Bang, DDS
• Ellis I Barowsky, PH.D.
• George Bates, RN
• Michele J Batista, MD
• Brijender Pal Singh Batra, MD
• Hendel Baum, LMT
• Rochelle Becher, B.S.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pomona, NY
• Providers in Pomona, NY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.