Active NPI
Early Spectrum Services, LLC
- Early Intervention Provider Agency
- New York, NY
National Provider Identifier
1609226240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 721496
- Legal business name
- EARLY SPECTRUM SERVICES, LLC
- Practice address
- 510 2ND Ave
3-C
New York, NY 10016-8639 - Phone
- (917) 573-4489
- Fax
- (212) 275-8223
- NPI assigned
- Jun 14, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenneth Scott
- Title
- Managing Member
- Phone
- (212) 275-8223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 721496 | NY | Primary |
Addresses
Primary practice location
510 2ND Ave
3-C
New York, NY 10016-8639
Mailing address
510 2ND Ave
3-C
New York, NY 10016-8639
Phone (917) 573-4489
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1609226240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 2ND AVE",
"address_2": "3-C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168639",
"telephone_number": "917-573-4489",
"fax_number": "212-275-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 2ND AVE",
"address_2": "3-C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100168639",
"telephone_number": "917-573-4489",
"fax_number": "212-275-8223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EARLY SPECTRUM SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "212-275-8223"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "721496",
"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 Jun 14, 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.