Mksa LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MKSA LLC

Practice address

125 E Bethpage Rd
Suite 5
Plainview, NY 11803-4228

Phone

(516) 731-5588

Fax

(516) 577-9049

NPI assigned

Jan 9, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Joann Scanlon, BCBA, LBA

Title

Executive Director

Phone

(516) 731-5588

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1389225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499385600000",
    "number": "1700208709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BETHPAGE RD",
            "address_2": "SUITE 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034228",
            "telephone_number": "516-731-5588",
            "fax_number": "516-577-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BETHPAGE RD",
            "address_2": "SUITE 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034228",
            "telephone_number": "516-731-5588",
            "fax_number": "516-577-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKSA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-09",
        "last_updated": "2017-07-07",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-731-5588",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03858055",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanne Miskovic
• Amanda Misra
• Mitchell Greenbaum, DPM, PC
• Jessica Brooke Mitchell
• Kristen N Mixon
• Ni Mo
• Nicole Moawad
• Siddhi Modi
• Shurel Angela Moffatt
• Jill Michele Mogul

• Early Intervention Provider Agency in Plainview, NY
• Providers in Plainview, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2017; 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.