NPIMap

Organization Active NPI

Ages & Stages , LLP

  • Early Intervention Provider Agency
  • Middletown, NY
National Provider Identifier
1487830113
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
AGES & STAGES , LLP
Practice address
192 Tower Dr
Suite 400
Middletown, NY 10941-2056
Phone
(845) 692-4391
Fax
(845) 692-4397
NPI assigned
Jan 11, 2008
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Ms. Susan Gail Swiat, PT
Title
Partner
Phone
(845) 692-4391

Specialties & licenses 1

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

Addresses

Primary practice location

192 Tower Dr
Suite 400
Middletown, NY 10941-2056

Mailing address

192 Tower Dr
Suite 400
Middletown, NY 10941-2056
Phone (845) 692-4391

Other identifiers 1

IdentifierTypeStateIssuer
03260620MedicaidNY

National Provider Directory

National Provider Directory

Locations

192 Tower Dr
Ste 400
Middletown, NY 10941
Phone (845) 692-4391

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1487830113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 TOWER DR",
            "address_2": "SUITE 400",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109412056",
            "telephone_number": "845-692-4391",
            "fax_number": "845-692-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "192 TOWER DR",
            "address_2": "SUITE 400",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109412056",
            "telephone_number": "845-692-4391",
            "fax_number": "845-692-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGES & STAGES , LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "SWIAT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "GAIL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "845-692-4391",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03260620",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.