NPIMap

Organization Active NPI

Roberta Pravder Inc

  • Early Intervention Provider Agency
  • Great Neck, NY
National Provider Identifier
1437499662
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
040420829 Issued in NY
Legal business name
ROBERTA PRAVDER INC
Practice address
50 Cedar Dr
Great Neck, NY 11021-1936
Phone
(516) 487-9605
Fax
(516) 829-6417
NPI assigned
Feb 25, 2013
Last updated
Mar 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2021

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

Authorized official

Name
Roberta C PravderNPI 1679611206
Title
President
Phone
(516) 698-2839

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 040420829 NY Primary

Addresses

Primary practice location

50 Cedar Dr
Great Neck, NY 11021-1936

Mailing address

50 Cedar Dr
Great Neck, NY 11021-1936
Phone (516) 487-9605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1437499662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CEDAR DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211936",
            "telephone_number": "516-487-9605",
            "fax_number": "516-829-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CEDAR DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110211936",
            "telephone_number": "516-487-9605",
            "fax_number": "516-829-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA PRAVDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-25",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "PRAVDER",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-698-2839"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "040420829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.