Inner Glow Early Intervention LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

INNER GLOW EARLY INTERVENTION LLC

Doing business as

Inner Glow Early Intervention LLC

Practice address

140 Mirin Ave
Roosevelt, NY 11575-1624

Phone

(929) 434-7076

Fax

(516) 442-5105

NPI assigned

Sep 7, 2024

Last updated

Sep 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Patricia V Lawrence, SPECIAL ED TEACHERNPI 1417315631

Title

Special Instructor

Phone

(929) 434-7076

Specialties & licenses 2

Addresses

Other names 3

• Inner Glow Early Intervention LLC Doing business as
• Patricia V Lawrence Other name
• Early Intervention/Special Instruction Other name

Practitioners 1

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.

• Patricia V Lawrence, MS ED

  • Specialist
  • Roosevelt, NY
  • NPI 1417315631
  NPD Authorized official

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

{
    "created_epoch": "1725667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725667200000",
    "number": "1508691551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MIRIN AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751624",
            "telephone_number": "929-434-7076",
            "fax_number": "516-442-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MIRIN AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751624",
            "telephone_number": "929-434-7076",
            "fax_number": "516-442-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER GLOW EARLY INTERVENTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-07",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SPECIAL INSTRUCTOR",
        "authorized_official_telephone_number": "929-434-7076",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SPECIAL ED TEACHER"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Glow Early Intervention LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Patricia V Lawrence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Early Intervention/Special Instruction",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Patricia V Lawrence",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Harvey Scott Hoffman, M.A., CCC-A
• Jessica Emily Hoffman
• Darrilyn Hogan
• Carolyn Holstein
• Erin Bernadette Horan
• Stephanie C Irizarry, M.A. CCC-SLP
• J & H Products USA Inc (Roosevelt Pharmacy)
• Shayna Jakers, OTR/L
• Sophia A James
• Tarika Shareen James, MD

• Early Intervention Provider Agency in Roosevelt, NY
• Providers in Roosevelt, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2024; 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.