Organization Active NPI

Om Craft LLC.

  • Rehabilitation Clinic/Center
  • Rockville Centre, NY
National Provider Identifier
1679908990
Registry record updated Sep 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
OM CRAFT LLC.
Practice address
7 North Village Ave
Rockville Centre, NY 11570-4707
Phone
(516) 619-6421
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2013

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

Authorized official

Name
Ms. Amanda Digiovanna, E-RYT
Title
President, Manager, Head Instructor
Phone
(516) 619-6421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

7 North Village Ave
Rockville Centre, NY 11570-4707

Mailing address

7 N Village Ave
Rockville Centre, NY 11570-4707

Other names 1

  • Revolution Yoga Doing business as

National Provider Directory

National Provider Directory

Locations

7 N Village Ave
Rockville Centre, NY 11570
Phone (516) 619-6421

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378339200000",
    "number": "1679908990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N VILLAGE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NORTH VILLAGE AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704707",
            "telephone_number": "516-619-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM CRAFT LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2013-09-05",
        "status": "A",
        "authorized_official_last_name": "DIGIOVANNA",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT, MANAGER, HEAD INSTRUCTOR",
        "authorized_official_telephone_number": "516-619-6421",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "E-RYT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revolution Yoga",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.