Nicole Monique Alston, SPECIAL ED TEACHER

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1366296014 Issued in NY

Practice address

44 Court St Ste 1217
Brooklyn, NY 11201-4410

Phone

(347) 479-1868

NPI assigned

Apr 17, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nyc Pro Home Care Inc

  • Home Health Aide
  • Brooklyn, NY
  • NPI 1710522867
  NPD (past)
• Prospect Kids, LLC

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1124489638
  NPD (past)

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

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723852800000",
    "number": "1366296014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 PENNSYLVANIA AVE APT 5E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392503",
            "telephone_number": "917-548-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 COURT ST STE 1217",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014410",
            "telephone_number": "347-479-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2102 Avenue Z Ste 304",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112353084",
            "country_code": "US",
            "telephone_number": "347-921-3250",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Quincy St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112212253",
            "country_code": "US",
            "telephone_number": "718-443-3440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSTON",
        "first_name": "NICOLE",
        "middle_name": "MONIQUE",
        "credential": "SPECIAL ED TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-08-17",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1366296014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annette Alston, MSW
• Anyia Alston
• Deric Alston
• Jessica Alston
• Juanita Ramira Alston
• Sara Alston
• Michelle Elizabeth Alstrom, M.D., RPH
• Perry Alt, MS, OTR/L
• Rachel Dina Alt, P.T.
• Rivka Alt

• All providers in Brooklyn, NY
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.