Active NPI
Strides Toward Developmental Milestones
- Specialist
- Valley Stream, NY
National Provider Identifier
1407369812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 730825
- Legal business name
- STRIDES TOWARD DEVELOPMENTAL MILESTONES
- Doing business as
- STDM
- Practice address
- 1238 G St
Valley Stream, NY 11580-1425 - Phone
- (347) 944-9296
- NPI assigned
- Nov 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamara Cassandrs Bowens, MSED
- Title
- Special Education Teacher
- Phone
- (347) 944-9296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 730825 | NY | Primary |
Addresses
Primary practice location
1238 G St
Valley Stream, NY 11580-1425
Mailing address
1238 G St
Valley Stream, NY 11580-1425
Phone (347) 944-9296
Other names 1
- STDM
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510012800000",
"number": "1407369812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1238 G ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801425",
"telephone_number": "347-944-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1238 G ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115801425",
"telephone_number": "347-944-9296"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIDES TOWARD DEVELOPMENTAL MILESTONES",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-07",
"last_updated": "2017-11-07",
"status": "A",
"authorized_official_last_name": "BOWENS",
"authorized_official_first_name": "TAMARA",
"authorized_official_middle_name": "CASSANDRS",
"authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
"authorized_official_telephone_number": "347-944-9296",
"authorized_official_credential": "MSED"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "730825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "STDM",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.