Prime Kids

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

PRIME KIDS

Practice address

15044 78TH Ave
Flushing, NY 11367-3437

Phone

(718) 880-1204

Fax

(718) 880-1204

NPI assigned

Jan 13, 2014

Last updated

Jan 13, 2014By 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

Mrs. Sofiya Rafailova

Title

Owner

Phone

(718) 880-1204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1598187304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15044 78TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673437",
            "telephone_number": "718-880-1204",
            "fax_number": "718-880-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15044 78TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673437",
            "telephone_number": "718-880-1204",
            "fax_number": "718-880-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME KIDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "RAFAILOVA",
        "authorized_official_first_name": "SOFIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-880-1204",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Price-Erickson, M.A., CCC-SLP
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• Katherine Primachenko, M.S., CCC-SLP
• Prime Medical & Rehab. P.C.
• Prime Smile Dental PC
• Prime Time Care, Inc.
• Prime Time Care, Inc.
• Prince Pharmacy Inc.

• Early Intervention Provider Agency in Flushing, NY
• Providers in Flushing, 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 Jan 13, 2014; 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.