Amaya Morales

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

15636 94TH St
Howard Beach, NY 11414-2801

Phone

(917) 520-1031

NPI assigned

Dec 28, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1760079537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15636 94TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142801",
            "telephone_number": "917-520-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15636 94TH ST",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142801",
            "telephone_number": "917-520-1031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10818 Queens Blvd Ste 4A5th",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113754748",
            "country_code": "US",
            "telephone_number": "917-520-1031",
            "fax_number": "888-975-7704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORALES",
        "first_name": "AMAYA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION PROGRAM",
            "identifier": "256260",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION PROGRAM",
            "identifier": "256260",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AEES",
            "affiliation": "N",
            "endpointDescription": "Service Coordinator",
            "address_1": "10818 Queens Blvd Ste 4A5th",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "256260",
            "affiliation": "N",
            "endpointDescription": "Service Coordinator",
            "address_1": "10818 Queens Blvd Ste 4A5th",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Victoria Mirzokandova
• Marc Mishan, O.D.
• Susan Mishan, O.D.
• Yogita Molai
• Dominic Anthony Monopoli
• Megan Moran
• Morton Zinberg,MD,PC
• Matthew Mosca
• Moses Adler, PLLC
• Petar Muncan, RN

• Early Intervention Provider Agency in Howard Beach, NY
• Providers in Howard Beach, 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 Dec 28, 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.