NPIMap

Organization Active NPI

Lisa Mennella Corp

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1558729624
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LISA MENNELLA CORP
Practice address
459 Columbus Ave
#164
New York, NY 10024-5129
Phone
(917) 658-1555
NPI assigned
Feb 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Ms. Lisa Margaret Mennella, MS
Title
Teacher of the Blind & V.I.
Phone
(917) 658-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

459 Columbus Ave
#164
New York, NY 10024-5129

Mailing address

459 Columbus Ave
#164
New York, NY 10024-5129

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1558729624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 COLUMBUS AVE",
            "address_2": "#164",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 COLUMBUS AVE",
            "address_2": "#164",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245129",
            "telephone_number": "917-658-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MENNELLA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "MENNELLA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "TEACHER OF THE BLIND & V.I.",
        "authorized_official_telephone_number": "917-658-1555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.