Active NPI
Taylor J Eichenlaub
- School Counselor
- Queens, NY
National Provider Identifier
1720563174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 1100315171
- Practice address
- 70-24 47TH Avenue
Queens, NY 11977 - Phone
- (718) 476-7163
- NPI assigned
- Oct 2, 2018
- Last updated
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 1100315171 | NY | Primary |
Addresses
Primary practice location
70-24 47TH Avenue
Queens, NY 11977
Mailing address
70-24 47TH Avenue
Woodside, NY 11377
Phone (718) 476-7163
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1100315171 | NY | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1720563174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70-24 47TH AVENUE",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "11377",
"telephone_number": "718-476-7163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70-24 47TH AVENUE",
"city": "QUEENS",
"state": "NY",
"postal_code": "11977",
"telephone_number": "718-476-7163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHENLAUB",
"first_name": "TAYLOR",
"middle_name": "J",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NY",
"license": "1100315171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Queens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.