Organization Active NPI

True Care of Long Island LLC

  • Early Intervention Provider Agency
  • Medford, NY
National Provider Identifier
1366206575
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
TRUE CARE OF LONG ISLAND LLC
Practice address
71 Birchwood Rd
Medford, NY 11763-1249
Phone
(646) 420-6900
NPI assigned
Feb 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Diana Gutta
Title
Ceo
Phone
(646) 420-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

71 Birchwood Rd
Medford, NY 11763-1249

Mailing address

71 Birchwood Rd
Medford, NY 11763-1249
Phone (646) 420-6900

Other names 1

  • Diana Gutta Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1366206575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BIRCHWOOD RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631249",
            "telephone_number": "646-420-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BIRCHWOOD RD",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117631249",
            "telephone_number": "646-420-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE CARE OF LONG ISLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "GUTTA",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-420-6900"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diana Gutta",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.