Nyc Dept of Ed

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

011515 Issued in NY

Legal business name

NYC DEPT OF ED

Practice address

240 E 109TH St
104C
New York, NY 10029-3703

Phone

(212) 722-6507

NPI assigned

May 7, 2012

Last updated

May 7, 2012By 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

Bruce A Williams, M.S., M.A. OTR/L

Title

Senior Occupational Therapist

Phone

(212) 722-6507

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336348800000",
    "number": "1528327848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 109TH ST",
            "address_2": "104C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293703",
            "telephone_number": "212-722-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 109TH ST",
            "address_2": "104C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293703",
            "telephone_number": "212-722-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYC DEPT OF ED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2012-05-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SENIOR OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "212-722-6507",
        "authorized_official_credential": "M.S., M.A. OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "011515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.