DM Kids Service

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

DM KIDS SERVICE

Practice address

1180 Brighton Beach Ave Apt 6B
Brooklyn, NY 11235-5838

Phone

(646) 417-3816

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Dmitry Merener, MS, SP EDNPI 1902152101

Title

Special Instructor (ABA)

Phone

(646) 404-4444

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dmitry Merener, MS. ED

  • Specialist
  • Brooklyn, NY
  • NPI 1902152101
  NPD (past) Authorized official

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1700429602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 BRIGHTON BEACH AVE APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355838",
            "telephone_number": "646-404-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 BRIGHTON BEACH AVE APT 6B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355838",
            "telephone_number": "646-417-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DM KIDS SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MERENER",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "SPECIAL INSTRUCTOR (ABA)",
        "authorized_official_telephone_number": "646-404-4444",
        "authorized_official_credential": "MS, SP ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dmerener@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1180 Brighton Beach Ave Apt 6B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112355838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• DM Optical Inc
• DM Physical Therapy
• DMB Chiropractic PLLC
• DME Access Corp
• DME Certified Supplies, Inc.

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, 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 Oct 23, 2019; 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.