Individual provider Active NPI

Rosalba Maistoru, M.A., B.C.B.A.

  • Behavior Analyst
  • Middle Village, NY
National Provider Identifier
1447528138
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1031353 Issued in NY
Practice address
6141 76TH St
Middle Village, NY 11379-1329
Phone
(917) 498-8880
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1031353 NY Primary

Addresses

Primary practice location

6141 76TH St
Middle Village, NY 11379-1329

Mailing address

6141 76TH St
Middle Village, NY 11379-1329
Phone (917) 498-8880

Other identifiers 1

IdentifierTypeStateIssuer
113596883OtherTRICARE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
1031353NYMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Adorable Rascals, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1447528138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 76TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791329",
            "telephone_number": "917-498-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 76TH ST",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113791329",
            "telephone_number": "917-498-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAISTORU",
        "first_name": "ROSALBA",
        "credential": "M.A., B.C.B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1031353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "113596883",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.