Individual provider Active NPI

Tunisia Joseph

  • Early Intervention Provider Agency
  • Astoria, NY
National Provider Identifier
1407779077
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
2057457261 Issued in NY
Practice address
2441 31St St # 1071
Astoria, NY 11102-1140
Phone
(917) 403-5467
NPI assigned
Jul 31, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 2057457261 NY Primary

Addresses

Primary practice location

2441 31St St # 1071
Astoria, NY 11102-1140

Mailing address

1137 31St Ave Apt 404S
Astoria, NY 11106-4789
Phone (917) 403-5467

Other names 1

  • Tunisia Bristol Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1407779077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 31ST AVE APT 404S",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064789",
            "telephone_number": "917-403-5467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 31ST ST # 1071",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111021140",
            "telephone_number": "917-403-5467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "TUNISIA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "2057457261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUNISIA",
            "last_name": "BRISTOL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.