Clever Kids Corp

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

885776 Issued in NY

Legal business name

CLEVER KIDS CORP

Practice address

1073 Roselle PL
Woodmere, NY 11598-1116

Phone

(646) 479-5509

NPI assigned

May 17, 2018

Last updated

Feb 28, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marina Khasido Miller, MSNPI 1386197911

Title

Ceo

Phone

(646) 479-5509

Specialties & licenses 1

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.

• Marina Khasido Miller

  • Early Intervention Provider Agency
  • Woodmere, NY
  • NPI 1386197911
  NPD (past) Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1346730082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BRIGHTON BEACH AVE APT 2U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355950",
            "telephone_number": "646-479-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 ROSELLE PL",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981116",
            "telephone_number": "646-479-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVER KIDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "KHASIDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-479-5509",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "885776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386197911",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aviva Charlap, CCC
• Theana Cheliotes, LMSW
• CHS Physician Partners, PC (Woodmere Medical Practice)
• Sharon Ciuffo
• Nancy Clarke-Bettica, OTR
• William Richard Cline Sr., RPH.
• Cherliz Cohen
• Danielle Cohen, OTR/L
• Isaac Yitzhak Cohen, LCSW, DSW
• Rachel Cohen

• Early Intervention Provider Agency in Woodmere, NY
• Providers in Woodmere, 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 Feb 28, 2024; 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.