Active NPI
Mario Lecorps, RN
- Behavior Analyst
- Cambria Heights, NY
National Provider Identifier
1659196319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 11706 225TH St
Cambria Heights, NY 11411-1706 - Phone
- (718) 712-8511
- Fax
- (718) 527-5624
- NPI assigned
- Nov 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
11706 225TH St
Cambria Heights, NY 11411-1706
Mailing address
11706 225TH St FL 1
Cambria Heights, NY 11411-1706
Phone (718) 712-8511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camkids Pediatrics PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Cambria Heights, NY
- NPI 1710057872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732492800000",
"number": "1659196319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11706 225TH ST FL 1",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111706",
"telephone_number": "718-712-8511",
"fax_number": "718-527-5624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11706 225TH ST",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "114111706",
"telephone_number": "718-712-8511",
"fax_number": "718-527-5624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECORPS",
"first_name": "MARIO",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-11-18",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cambria Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.