Edeyouth Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

EDEYOUTH INC

Practice address

14414 243Rd St
Rosedale, NY 11422-2328

Phone

(917) 601-9306

NPI assigned

Dec 23, 2024

Organization subpart

No

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

Authorized official

Name

Betty Aristide

Title

Executive Director

Phone

(917) 601-9306

Specialties & licenses 1

Addresses

Other names 1

• EdeYouth Inc Doing business as

Locations

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1619785557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25344 147TH RD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222826",
            "telephone_number": "917-601-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14414 243RD ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222328",
            "telephone_number": "917-601-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEYOUTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "ARISTIDE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-601-9306"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EdeYouth Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen E. Duncan, FNP
• Esperanta Dupervil, LCSW
• Cyrtha Durand
• Ngozi Ebhomielen
• Shantel Eccleston
• Edge Medical Services
• Nordia Edwards, NURSE PRACTITIONER
• Nneka Egbuchunam, RN
• Chioma Chituru Egbulefu, RPH
• Olaleye O Ekundare, LMSW

• Voluntary or Charitable Agency in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.