Individual provider Active NPI

Eunice Paul, SPECIAL ED TEACHER

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Bronx, NY
National Provider Identifier
1720823453
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
1804969241 Issued in NY
Practice address
6214 Riverdale Ave Ste 1a
Bronx, NY 10471-1032
Phone
(718) 701-4807
Fax
(718) 701-4806
NPI assigned
Jun 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 225500000X 1804969241 NY Primary

Addresses

Primary practice location

6214 Riverdale Ave Ste 1a
Bronx, NY 10471-1032

Mailing address

1263 Elder Ave PH
Bronx, NY 10472-2304
Phone (718) 902-7704

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

LicenseStateTypeSpecialty
1804969241NYMDRespiratory/Developmental/Rehabilitative Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1720823453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1263 ELDER AVE PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722304",
            "telephone_number": "718-902-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6214 RIVERDALE AVE STE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104711032",
            "telephone_number": "718-701-4807",
            "fax_number": "718-701-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "EUNICE",
        "credential": "SPECIAL ED TEACHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist",
            "state": "NY",
            "license": "1804969241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.