LR Professional Development Services, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LR PROFESSIONAL DEVELOPMENT SERVICES, INC

Practice address

9737 63Rd Rd Apt 10J
Rego Park, NY 11374-1623

Phone

(917) 613-2124

NPI assigned

Feb 28, 2019

Last updated

Feb 28, 2019By 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

Lana Rubin, MSED

Title

Special Educator

Phone

(917) 613-2124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1285191940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9737 63RD RD APT 10J",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 63RD RD APT 10J",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741623",
            "telephone_number": "917-613-2124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LR PROFESSIONAL DEVELOPMENT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "SPECIAL EDUCATOR",
        "authorized_official_telephone_number": "917-613-2124",
        "authorized_official_credential": "MSED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.