K. Waldron Enterprises Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

K. WALDRON ENTERPRISES INC.

Practice address

1527 Metropolitan Ave
5G
Bronx, NY 10462-6171

Phone

(917) 418-2936

Fax

(347) 851-3824

NPI assigned

Nov 20, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Khadijah Waldron, MS EDNPI 1023341278

Title

Ceo

Phone

(917) 418-2936

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Khadijah Waldron, MS ED

  • Specialist
  • Bronx, NY
  • NPI 1023341278
  NPD (past) Authorized official

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1346670890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 METROPOLITAN AVE",
            "address_2": "5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626171",
            "telephone_number": "917-418-2936",
            "fax_number": "347-851-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 METROPOLITAN AVE",
            "address_2": "5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626171",
            "telephone_number": "917-418-2936",
            "fax_number": "347-851-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. WALDRON ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-418-2936",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.