NPIMap

Organization Active NPI

Innovative Firms

  • Eyewear Supplier
  • Astoria, NY
National Provider Identifier
1518136647
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
008114-1 Issued in NY
Legal business name
INNOVATIVE FIRMS
Practice address
2503 Broadway
Astoria, NY 11106-3413
Phone
(718) 204-8630
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Maria Moreno
Title
Optician
Phone
(718) 204-8630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 008114-1 NY Primary

Addresses

Primary practice location

2503 Broadway
Astoria, NY 11106-3413

Mailing address

2503 Broadway
Astoria, NY 11106-3413
Phone (718) 204-8630

Other identifiers 1

IdentifierTypeStateIssuer
02533448MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Innovative Firms2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2503 Broadway
Astoria, NY 11106
Phone (718) 204-8630

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1518136647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063413",
            "telephone_number": "718-204-8630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111063413",
            "telephone_number": "718-204-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE FIRMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "MORENO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "718-204-8630"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NY",
            "license": "008114-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533448",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.