Laridian Koinonia

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

LARIDIAN KOINONIA

Practice address

8115 5TH Ave
Brooklyn, NY 11209-4102

Phone

(718) 218-4442

NPI assigned

May 12, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jason Calderon

Title

President

Phone

(505) 203-7689

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1710509799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 PERRY AVE APT 3D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104674130",
            "telephone_number": "718-218-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094102",
            "telephone_number": "718-218-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARIDIAN KOINONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-203-7689",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Laraque, M.S.
• Evelyn Wreh Larbie
• Morgan Larcara, CCC-SLP
• Michael R Lardiere, LCSW
• Larex Medical Supply LLC
• Sophronia Larig, NP
• Larimar Family NP Services, PLLC
• Yelena Larina
• Daria Larine, MD
• Larisa N. Likver, Medical P.C.

• Lodging Provider in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Lodging Provider in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.