Active NPI
Levelup Creative Studio Corp
- Adult Companion
- Woodside, NY
National Provider Identifier
1497569552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Legal business name
- LEVELUP CREATIVE STUDIO CORP
- Practice address
- 6303 39TH Ave
Woodside, NY 11377-2858 - Phone
- (917) 349-2293
- NPI assigned
- Feb 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Betsaida Pena
- Title
- Ceo
- Phone
- (917) 349-2293
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
6303 39TH Ave
Woodside, NY 11377-2858
Mailing address
6303 39TH Ave
Woodside, NY 11377-2858
Phone (917) 349-2293
National Provider Directory
National Provider DirectoryLocations
6303 39th Ave
Woodside, NY 11377
Phone (917) 349-2293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1497569552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 39TH AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772858",
"telephone_number": "917-349-2293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 39TH AVE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113772858",
"telephone_number": "917-349-2293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEVELUP CREATIVE STUDIO CORP",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-06",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "PENA",
"authorized_official_first_name": "BETSAIDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "917-349-2293"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.