Provider Connects Inc

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

PROVIDER CONNECTS INC

Practice address

153 Broadway
Hicksville, NY 11801-4297

Phone

(201) 241-0079

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Jocelyn Thomas

Title

Office Manager

Phone

(201) 241-0079

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1710655030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014297",
            "telephone_number": "201-241-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER CONNECTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "201-241-0079"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prine Health Medical Group, PLLC
• Pro Pharmacy LLC
• Professional Evaluation Medical Group
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy, PC
• Psychological Assessment and Screening Services PC
• Rene Pufahl
• Amanda Pugliese
• Manuel No Midddle Name Puig, RN
• Alana Pujols

• Behavior Analyst in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.