Blossoming Scolars, Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

766125131 Issued in NY

Legal business name

BLOSSOMING SCOLARS, INC

Practice address

3034 Kingsbridge Ave Apt 2CS
Bronx, NY 10463-5147

Phone

(917) 689-0072

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Rosanna Bautista, M.S. ED SP. EDNPI 1538598289

Title

Owner/President

Phone

(917) 689-0072

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blossoming Scholars, Inc Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rosanna Bautista

  • Intellectual & Developmental Disabilities Psychologist
  • Bronx, NY
  • NPI 1538598289
  NPD Authorized official

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1578065082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 KINGSBRIDGE AVE APT 2CS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635147",
            "telephone_number": "917-689-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 KINGSBRIDGE AVE APT 2CS",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635147",
            "telephone_number": "917-689-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOSSOMING SCOLARS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "ROSANNA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "917-689-0072",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. ED SP. ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "766125131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PROVIDER IDENTIFICATION NUMBER",
            "identifier": "686598",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blossoming Scholars, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth Edward Bloom, M.D.
• Rita Marie Bloom
• Diane E Bloomfield, MD
• Noah Aaron Bloomgarden, M.D.
• Luna L Blossom
• Stacey Blot
• Cherron Blount
• Blu-White Associated Transportation Service Inc
• Matthew Richard Bludorn, D.O.
• Blue Eagle Transportation Service

• Early Intervention Provider Agency in Bronx, NY
• Providers in Bronx, 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 Mar 1, 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.