Aavjn&Aija Corner

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

AAVJN&AIJA CORNER

Practice address

13010 144TH St
Jamaica, NY 11436-2214

Phone

(718) 781-5417

Fax

(718) 322-7480

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Debra Ann BacchusNPI 1083086912

Title

Ceo/ Owner

Phone

(718) 781-5417

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Ann Bacchus

  • Case Manager/Care Coordinator
  • Jamaica, NY
  • NPI 1083086912
  NPD (past) Authorized official

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1457725905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13010 144TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362214",
            "telephone_number": "718-781-5417",
            "fax_number": "718-322-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 144TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362214",
            "telephone_number": "718-781-5417",
            "fax_number": "718-322-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAVJN&AIJA CORNER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "BACCHUS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "718-781-5417",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Manager/Care Coordinator in Jamaica, NY
• Providers in Jamaica, NY by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.