NPIMap

Organization Active NPI

PM Evaluation & Therapy Services

  • Early Intervention Provider Agency
  • Central Islip, NY
National Provider Identifier
1346517653
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
703380 Issued in NY
Legal business name
PM EVALUATION & THERAPY SERVICES
Practice address
172 Tree Ave
Central Islip, NY 11722-3546
Phone
(361) 332-8736
Fax
(631) 539-2826
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Authorized official

Name
Mrs. Priscah Musonza, MS.SPEDNPI 1972994408
Title
Director
Phone
(631) 332-8736

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 703380 NY Primary

Addresses

Primary practice location

172 Tree Ave
Central Islip, NY 11722-3546

Mailing address

172 Tree Ave
Central Islip, NY 11722-3546
Phone (631) 332-8736

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1346517653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 TREE AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223546",
            "telephone_number": "631-332-8736",
            "fax_number": "631-539-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 TREE AVE",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117223546",
            "telephone_number": "361-332-8736",
            "fax_number": "631-539-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PM EVALUATION & THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "MUSONZA",
        "authorized_official_first_name": "PRISCAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-332-8736",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS.SPED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "703380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.