Individual provider Active NPI

Charisse Lasola

  • Early Intervention Provider Agency
  • Purchase, NY
National Provider Identifier
1508363466
Registry record updated Apr 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
009379-1 Issued in NY
Practice address
2700 Westchester Ave Ste 300
Purchase, NY 10577-2554
Phone
(914) 328-2868
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 009379-1 NY Primary

Addresses

Primary practice location

2700 Westchester Ave Ste 300
Purchase, NY 10577-2554

Mailing address

2700 Westchester Ave Ste 300
Purchase, NY 10577-2554
Phone (914) 328-2868

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

NPI Registry JSON

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

{
    "created_epoch": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523145600000",
    "number": "1508363466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE STE 300",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772554",
            "telephone_number": "914-328-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTCHESTER AVE STE 300",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772554",
            "telephone_number": "914-328-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASOLA",
        "first_name": "CHARISSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2018-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "009379-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Purchase, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2018; 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.