Active NPI
Reaching Beyond the Stars , LLC
- Specialist
- Brooklyn, NY
National Provider Identifier
1629331285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- REACHING BEYOND THE STARS , LLC
- Practice address
- 465 73Rd Street
Brooklyn, NY 11209 - Phone
- (917) 939-0602
- NPI assigned
- Jun 19, 2012
- 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
- Colette Elder, BASPED
- Title
- Owner
- Phone
- (917) 939-0602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
465 73Rd Street
Brooklyn, NY 11209
Mailing address
465 73Rd Street
Brooklyn, NY 11209
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1340064000000",
"number": "1629331285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 73RD STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 73RD STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "917-939-0602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REACHING BEYOND THE STARS , LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A",
"authorized_official_last_name": "ELDER",
"authorized_official_first_name": "COLETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-939-0602",
"authorized_official_credential": "BASPED"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"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 Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.