NPIMap

Organization Active NPI

Lise Petricone Inc. Dba Small Steps

Doing business as Small Steps

  • Early Intervention Provider Agency
  • Nyack, NY
National Provider Identifier
1639321730
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LISE PETRICONE INC. DBA SMALL STEPS
Doing business as
Small Steps
Practice address
21 Burd St
Nyack, NY 10960-3205
Phone
(845) 353-2350
Fax
(845) 353-2397
NPI assigned
Oct 21, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Ms. Lise PetriconeNPI 1760635668
Title
President/Director
Phone
(845) 353-2350

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NY Primary
Local Education Agency (LEA) 251300000X NY

Addresses

Primary practice location

21 Burd St
Nyack, NY 10960-3205

Mailing address

21 Burd St
Nyack, NY 10960-3205
Phone (845) 353-2350

Other names 1

  • Small Steps Doing business as

National Provider Directory

National Provider Directory

Locations

21 Burd St
Nyack, NY 10960
Phone (845) 353-2350

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1639321730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 BURD ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603205",
            "telephone_number": "845-353-2350",
            "fax_number": "845-353-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BURD ST",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109603205",
            "telephone_number": "845-353-2350",
            "fax_number": "845-353-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISE PETRICONE INC. DBA SMALL STEPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "PETRICONE",
        "authorized_official_first_name": "LISE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "845-353-2350",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Small Steps",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nyack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.