Lil Einstein Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LIL EINSTEIN INC.

Practice address

4 Ridgewood St
Valley Stream, NY 11580-2508

Phone

(917) 406-3243

NPI assigned

Sep 12, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Maribel Lino, MSED, TSHHNPI 1053757872

Title

Special Instruction

Phone

(917) 406-3243

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Maribel Lino

  • Specialist
  • Valley Stream, NY
  • NPI 1053757872
  NPD (past) Authorized official

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536796800000",
    "number": "1295218592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 DOGWOOD AVE # 211",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103247",
            "telephone_number": "917-406-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 RIDGEWOOD ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802508",
            "telephone_number": "917-406-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL EINSTEIN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-13",
        "status": "A",
        "authorized_official_last_name": "LINO",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "SPECIAL INSTRUCTION",
        "authorized_official_telephone_number": "917-406-3243",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSED, TSHH"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT CONTRACTOR",
            "identifier": "10457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Maribel Lino

• Specialist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.