Organization Active NPI

Jabo and Jaelle Inc

  • Early Intervention Provider Agency
  • Elmhurst, NY
National Provider Identifier
1689432213
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
JABO AND JAELLE INC
Practice address
8602 57TH Ave
Elmhurst, NY 11373-4838
Phone
(718) 446-9021
NPI assigned
Mar 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Jay Bee Godoy BondocNPI 1073856167
Title
President
Phone
(347) 341-0772

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 Primary

Addresses

Primary practice location

8602 57TH Ave
Elmhurst, NY 11373-4838

Mailing address

12512 135TH Ave # 2F
South Ozone Park, NY 11420-3208
Phone (347) 341-0772

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1689432213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12512 135TH AVE # 2F",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203208",
            "telephone_number": "347-341-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8602 57TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734838",
            "telephone_number": "718-446-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JABO AND JAELLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "BONDOC",
        "authorized_official_first_name": "JAY BEE",
        "authorized_official_middle_name": "GODOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-341-0772"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.

Verify at the official NPI Registry.