Diagnostic Assessment, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

11302 Issued in NY

Legal business name

DIAGNOSTIC ASSESSMENT, INC.

Practice address

1641 3Rd Ave
29De
New York, NY 10128-3623

Phone

(718) 734-1764

Fax

(718) 734-1764

NPI assigned

Dec 22, 2009

Last updated

Jun 29, 2012By 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

Mr. Randolph Caban, SPECIAL EDUCATION

Title

Coo

Phone

(718) 734-1764

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1417286444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 3RD AVE",
            "address_2": "29DE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283623",
            "telephone_number": "718-734-1764",
            "fax_number": "718-734-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 3RD AVE",
            "address_2": "29DE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283623",
            "telephone_number": "718-734-1764",
            "fax_number": "718-734-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC ASSESSMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "CABAN",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "718-734-1764",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "SPECIAL EDUCATION"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "11302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.