Organization Active NPI

Canarsie Eip, Inc.

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1508011545
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
38100 Issued in NY
Legal business name
CANARSIE EIP, INC.
Practice address
1651 Ralph Ave
Brooklyn, NY 11236-3317
Phone
(718) 241-9211
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Dr. Eliot Kirschenbaum, PSYD
Title
Executive Director
Phone
(718) 241-9211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 38100 NY Primary

Addresses

Primary practice location

1651 Ralph Ave
Brooklyn, NY 11236-3317

Mailing address

1651 Ralph Ave
Brooklyn, NY 11236-3317
Phone (718) 241-9211

National Provider Directory

National Provider Directory

Locations

1651 Ralph Ave
Brooklyn, NY 11236
Phone (718) 241-9211

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": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1508011545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363317",
            "telephone_number": "718-241-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 RALPH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363317",
            "telephone_number": "718-241-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANARSIE EIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "KIRSCHENBAUM",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "718-241-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "38100",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 18, 2008; 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.