Organization Active NPI

Boe

  • Early Intervention Provider Agency
  • Flushing, NY
National Provider Identifier
1689964298
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BOE
Practice address
17206 35 Ave
Flushing, NY 11358
Phone
(917) 882-4164
Fax
(718) 461-9578
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Lisa St. Kommate-Steyer, PH.D
Title
Education/Therapist
Phone
(917) 882-4164

Specialties & licenses 1

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

Addresses

Primary practice location

17206 35 Ave
Flushing, NY 11358

Mailing address

17206 35TH Ave
Flushing, NY 11358-1836
Phone (917) 882-4164

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": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1689964298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17206 35TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581836",
            "telephone_number": "917-882-4164",
            "fax_number": "718-461-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17206 35 AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "917-882-4164",
            "fax_number": "718-461-9578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "KOMMATE-STEYER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ST.",
        "authorized_official_title_or_position": "EDUCATION/THERAPIST",
        "authorized_official_telephone_number": "917-882-4164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.