Active NPI
Kai Ayana Baltimore
- Contractor
- Bronx, NY
National Provider Identifier
1770834624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 857321
- Practice address
- 2510 Westchester Ave RM 102
Bronx, NY 10461-3512 - Phone
- (718) 597-5558
- NPI assigned
- Oct 1, 2012
- Last updated
- Oct 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 857321 | NY | Primary |
Addresses
Primary practice location
2510 Westchester Ave RM 102
Bronx, NY 10461-3512
Mailing address
37 Featherbed LN Apt 5D
Bronx, NY 10452-1641
Phone (347) 269-8291
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 |
|---|---|---|---|
| 857321 | NY | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theracare | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Early Intervention Provider Agency
- Bronx, NY
- NPI 1063775310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1770834624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 FEATHERBED LN APT 5D",
"city": "BRONX",
"state": "NY",
"postal_code": "104521641",
"telephone_number": "347-269-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 WESTCHESTER AVE RM 102",
"city": "BRONX",
"state": "NY",
"postal_code": "104613512",
"telephone_number": "718-597-5558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALTIMORE",
"first_name": "KAI",
"middle_name": "AYANA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-01",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "857321",
"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 Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.