Organization Active NPI

Aj Innovative Solutions

  • Early Intervention Provider Agency
  • Queens Village, NY
National Provider Identifier
1477077865
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AJ INNOVATIVE SOLUTIONS
Practice address
8075 208TH St
Queens Village, NY 11427-1006
Phone
(718) 753-2309
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Antonio Jha, SPECIAL INSTRUCTOR
Title
Special Education Teacher
Phone
(718) 753-2309

Specialties & licenses 1

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

Addresses

Primary practice location

8075 208TH St
Queens Village, NY 11427-1006

Mailing address

8075 208TH St
Queens Village, NY 11427-1006

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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1477077865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 208TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 208TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114271006",
            "telephone_number": "718-753-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ INNOVATIVE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "JHA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "718-753-2309",
        "authorized_official_credential": "SPECIAL INSTRUCTOR"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.