NPIMap

Organization Active NPI

Premier Providers Inc.

  • Early Intervention Provider Agency
  • Kew Gardens, NY
National Provider Identifier
1508134305
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
0614371 Issued in NY
Legal business name
PREMIER PROVIDERS INC.
Practice address
103 82ND Rd
Kew Gardens, NY 11415-1422
Phone
(917) 669-1991
Fax
(718) 360-8957
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Miss Tashana F Mohabir, MS.CCC-SLPNPI 1376793646
Title
Speech Language Pathologist
Phone
(917) 669-1991

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 0614371 NY Primary

Addresses

Primary practice location

103 82ND Rd
Kew Gardens, NY 11415-1422

Mailing address

103 82ND Rd
Kew Gardens, NY 11415
Phone (917) 669-1991

Other identifiers 1

IdentifierTypeStateIssuer
1376793646OtherNYNPI PERSONAL NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1508134305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 82ND RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "917-669-1991",
            "fax_number": "718-360-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 82ND RD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151422",
            "telephone_number": "917-669-1991",
            "fax_number": "718-360-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROVIDERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "MOHABIR",
        "authorized_official_first_name": "TASHANA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "917-669-1991",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0614371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL NUMBER",
            "identifier": "1376793646",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.