Active NPI
M
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1285570093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- M
- Practice address
- 1944 E 12TH St
Brooklyn, NY 11229-2704 - Phone
- (917) 757-7527
- NPI assigned
- Apr 24, 2026
- 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
- David White
- Title
- Provider
- Phone
- (718) 382-1505
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
1944 E 12TH St
Brooklyn, NY 11229-2704
Mailing address
2166 Coney Island Ave
Brooklyn, NY 11223-3332
Phone (771) 838-2150
National Provider Directory
National Provider DirectoryLocations
2166 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 732-7770
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brooklyn, NY
- NPI 1871439182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1285570093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2166 CONEY ISLAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112233332",
"telephone_number": "771-838-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1944 E 12TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292704",
"telephone_number": "917-757-7527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-24",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "718-382-1505"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.