Active NPI
Advanced Therapy Solutions
- Early Intervention Provider Agency
- Selden, NY
National Provider Identifier
1700120029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 018474
- Legal business name
- ADVANCED THERAPY SOLUTIONS
- Practice address
- 19 Biscayne Dr
Selden, NY 11784-1001 - Phone
- (516) 819-2626
- Fax
- (631) 846-8156
- NPI assigned
- Nov 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kelly Palma, MS CCC SLP
- Title
- Owner
- Phone
- (516) 819-2626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 018474 | NY | Primary |
Addresses
Primary practice location
19 Biscayne Dr
Selden, NY 11784-1001
Mailing address
19 Biscayne Dr
Selden, NY 11784-1001
Phone (516) 819-2626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811142458 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Selden, NY
- NPI 1952794026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1353974400000",
"number": "1700120029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BISCAYNE DR",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841001",
"telephone_number": "516-819-2626",
"fax_number": "631-846-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 BISCAYNE DR",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841001",
"telephone_number": "516-819-2626",
"fax_number": "631-846-8156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED THERAPY SOLUTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-27",
"last_updated": "2012-11-27",
"status": "A",
"authorized_official_last_name": "PALMA",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-819-2626",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS CCC SLP"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "018474",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1811142458",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.