Organization Active NPI

Peds

  • Early Intervention Provider Agency
  • Amherst, NY
National Provider Identifier
1659707362
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
171028475 Issued in NY
Legal business name
PEDS
Practice address
4242 Ridge Lea Rd Ste 2
Amherst, NY 14226-5122
Phone
(716) 819-2400
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Amy Godzich
Title
Special Education Teacher
Phone
(716) 830-7602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 171028475 NY Primary

Addresses

Primary practice location

4242 Ridge Lea Rd Ste 2
Amherst, NY 14226-5122

Mailing address

58 Fairelm LN
Cheektowaga, NY 14227-1356

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1659707362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 FAIRELM LN",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142271356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 RIDGE LEA RD STE 2",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142265122",
            "telephone_number": "716-819-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "GODZICH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "716-830-7602"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "171028475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.