Individual provider Active NPI

Erika Bianery Vega Solis Jr.

  • Early Intervention Provider Agency
  • Forest Hills, NY
National Provider Identifier
1467274332
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1856817241 Issued in NY
Practice address
11821 Queens Blvd Ste 612
Forest Hills, NY 11375-7206
Phone
(917) 749-2068
NPI assigned
Oct 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1856817241 NY Primary

Addresses

Primary practice location

11821 Queens Blvd Ste 612
Forest Hills, NY 11375-7206

Mailing address

3170 42ND St Apt 3
Astoria, NY 11103-3297
Phone (347) 846-8996

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

State licenses

LicenseStateTypeSpecialty
1856817241NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
M & R Kids LLC Early Intervention Provider Agency CurrentSince Nov 3, 2024 Accepting new patients
Bilingual Iep Support LLC Early Intervention Provider Agency PastSince Nov 3, 2024 Accepting new patients

Locations

11821 Queens Blvd
Ste 612
Forest Hills, NY 11375
Phone (917) 691-0156

Organizations & group practices 2

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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1467274332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3170 42ND ST APT 3",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033297",
            "telephone_number": "347-846-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11821 QUEENS BLVD STE 612",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113757206",
            "telephone_number": "917-749-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA SOLIS",
        "first_name": "ERIKA",
        "middle_name": "BIANERY",
        "name_prefix": "Ms.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1856817241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.