Organization Active NPI

Edugenix, Inc.

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1609624030
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
EDUGENIX, INC.
Practice address
3376 Shore Pkwy
Brooklyn, NY 11235-3075
Phone
(646) 733-6068
NPI assigned
May 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Mrs. Anastasia Andreyeva, MSPEDNPI 1073041315
Title
President
Phone
(646) 733-6068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

3376 Shore Pkwy
Brooklyn, NY 11235-3075

Mailing address

3376 Shore Pkwy
Brooklyn, NY 11235-3075
Phone (646) 733-6068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1609624030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353075",
            "telephone_number": "646-733-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3376 SHORE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353075",
            "telephone_number": "646-733-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUGENIX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDREYEVA",
        "authorized_official_first_name": "ANASTASIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-733-6068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSPED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.