Active NPI
Sara Strom, MSED
- Early Intervention Provider Agency
- Plainview, NY
National Provider Identifier
1487900866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 1868932
- Practice address
- 255 Executive Drive
Suite LL 105
Plainview, NY 11803 - Phone
- (516) 576-2040
- NPI assigned
- Aug 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 1868932 | NY | Primary |
Addresses
Primary practice location
255 Executive Drive
Suite LL 105
Plainview, NY 11803
Mailing address
22-33 29TH Street
Astoria, NY 11105
Phone (516) 643-2341
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1868932 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343952000000",
"number": "1487900866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22-33 29TH STREET",
"city": "ASTORIA",
"state": "NY",
"postal_code": "11105",
"telephone_number": "516-643-2341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 EXECUTIVE DRIVE",
"address_2": "SUITE LL 105",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "11803",
"telephone_number": "516-576-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROM",
"first_name": "SARA",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-03",
"last_updated": "2012-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "1868932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.