NPIMap

Organization Active NPI

Jessica Wahl

  • Early Intervention Provider Agency
  • Oceanside, NY
National Provider Identifier
1285070094
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2365999 Issued in NY
Legal business name
JESSICA WAHL
Practice address
54 Howard PL
Oceanside, NY 11572-1330
Phone
(516) 359-6137
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Jessica WahlNPI 1740629252
Title
Special Education Teacher
Phone
(516) 359-6137

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 2365999 NY Primary

Addresses

Primary practice location

54 Howard PL
Oceanside, NY 11572-1330

Mailing address

54 Howard PL
Rockville Centre, NY 11572-1330
Phone (516) 359-6137

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1285070094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HOWARD PL",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115721330",
            "telephone_number": "516-359-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HOWARD PL",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721330",
            "telephone_number": "516-359-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA WAHL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "WAHL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "516-359-6137"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "2365999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

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