NPIMap

Organization Active NPI

Char Champion Therapy

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1497115836
Registry record updated Feb 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1248105 Issued in NY
Legal business name
CHAR CHAMPION THERAPY
Practice address
351 Marine Ave
17C
Brooklyn, NY 11209-8055
Phone
(212) 810-7578
NPI assigned
Feb 27, 2016
Last updated
Feb 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2016

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

Authorized official

Name
Lyubov Char, M.S., ABANPI 1710361407
Title
President
Phone
(212) 810-7578

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1248105 NY Primary

Addresses

Primary practice location

351 Marine Ave
17C
Brooklyn, NY 11209-8055

Mailing address

351 Marine Ave
17C
Brooklyn, NY 11209-8055
Phone (212) 810-7578

Other identifiers 1

IdentifierTypeStateIssuer
528649OtherNYNYS DEPARTMENT OF HEALTH BUREAU OF EARLY INTERVENTION

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456531200000",
    "number": "1497115836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 MARINE AVE",
            "address_2": "17C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098055",
            "telephone_number": "212-810-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MARINE AVE",
            "address_2": "17C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098055",
            "telephone_number": "212-810-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAR CHAMPION THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-27",
        "last_updated": "2016-02-27",
        "status": "A",
        "authorized_official_last_name": "CHAR",
        "authorized_official_first_name": "LYUBOV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-810-7578",
        "authorized_official_credential": "M.S., ABA"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1248105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPARTMENT OF HEALTH BUREAU OF EARLY INTERVENTION",
            "identifier": "528649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2016; 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.