Active NPI
Amanda Edwards
- Early Intervention Provider Agency
- Brooklyn, NY
National Provider Identifier
1295162238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 083312-1
- Practice address
- 333 Lafayette Ave
#22H
Brooklyn, NY 11238-1350 - Phone
- (917) 279-9169
- NPI assigned
- Oct 6, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 083312-1 | NY | Primary |
Addresses
Primary practice location
333 Lafayette Ave
#22H
Brooklyn, NY 11238-1350
Mailing address
333 Lafayette Ave
#22H
Brooklyn, NY 11238-1350
Phone (917) 279-9169
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 083312-1 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1295162238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 LAFAYETTE AVE",
"address_2": "#22H",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112381350",
"telephone_number": "917-279-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 LAFAYETTE AVE",
"address_2": "#22H",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112381350",
"telephone_number": "917-279-9169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "AMANDA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-06",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "083312-1",
"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 Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.