NPIMap

Organization Active NPI

Ilena Rotundo

  • Early Intervention Provider Agency
  • West Palm Beach, FL
National Provider Identifier
1629590591
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ILENA ROTUNDO
Practice address
3805 Torres Cir
West Palm Beach, FL 33409-8119
Phone
(561) 225-0286
NPI assigned
Jul 12, 2017
Organization subpart
Yes
Parent organization
ILENA ROTUNDOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ilena RotundoNPI 1558371419
Title
Owner
Phone
(561) 225-0286

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 FL Primary

Addresses

Primary practice location

3805 Torres Cir
West Palm Beach, FL 33409-8119

Mailing address

3805 Torres Cir
West Palm Beach, FL 33409-8119
Phone (561) 225-0286

Other identifiers 1

IdentifierTypeStateIssuer
673916MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Ilena Rotundo2 organizations share this tax ID, including this one
Part of
Ilena Rotundo

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629590591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 TORRES CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098119",
            "telephone_number": "561-225-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 TORRES CIR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334098119",
            "telephone_number": "561-225-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILENA ROTUNDO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILENA ROTUNDO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROTUNDO",
        "authorized_official_first_name": "ILENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-225-0286"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "673916",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.