Organization Active NPI

MK Early Development Inc

  • Early Intervention Provider Agency
  • Fresh Meadows, NY
National Provider Identifier
1619366242
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MK EARLY DEVELOPMENT INC
Practice address
7527 194TH St
Fresh Meadows, NY 11366-1837
Phone
(646) 327-5031
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Ms. Marina Kholdarova, MSNPI 1417390568
Title
Ceo
Phone
(646) 327-5031

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

7527 194TH St
Fresh Meadows, NY 11366-1837

Mailing address

7527 194TH St
Fresh Meadows, NY 11366-1837
Phone (646) 327-5031

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": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1619366242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 194TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661837",
            "telephone_number": "646-327-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 194TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661837",
            "telephone_number": "646-327-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK EARLY DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "KHOLDAROVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-327-5031",
        "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 Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.