Illiassa Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

751806 Issued in NY

Legal business name

ILLIASSA INC

Practice address

2139 Washington Ave
Bronx, NY 10457-2553

Phone

(646) 270-5436

Fax

(718) 901-3739

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Tamba Singhateh

Title

President

Phone

(646) 270-5436

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1447610290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572553",
            "telephone_number": "646-270-5436",
            "fax_number": "718-901-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 WASHINGTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572553",
            "telephone_number": "646-270-5436",
            "fax_number": "718-901-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLIASSA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "SINGHATEH",
        "authorized_official_first_name": "TAMBA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-270-5436"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "751806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma Ilario
• Eduardo Ildefonso
• Ile Olodumare Ife Ifa
• Ekaterina Ilich, MD
• Andrey Iliev
• Eucharia Ilo
• Augustina Iloba
• Adaobi I Iloka-Ashley, RN
• Victoria Ilori
• Omer Ilus, DMD

• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.