NPIMap

Organization Active NPI

Early Childhood Intervention Services

  • Health Maintenance Organization
  • Jamaica, NY
National Provider Identifier
1770892853
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
58014667 Issued in NY
Legal business name
EARLY CHILDHOOD INTERVENTION SERVICES
Practice address
14483 176TH St
Jamaica, NY 11434-4913
Phone
(718) 977-0110
NPI assigned
Oct 6, 2010
Last updated
Oct 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Paula Sims
Title
Director
Phone
(718) 344-4508

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 58014667 NY Primary
Point of Service 305S00000X 58-017019 NY

Addresses

Primary practice location

14483 176TH St
Jamaica, NY 11434-4913

Mailing address

14483 176TH St
Jamaica, NY 11434-4913
Phone (718) 977-0110

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1770892853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14483 176TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344913",
            "telephone_number": "718-977-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14483 176TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114344913",
            "telephone_number": "718-977-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY CHILDHOOD INTERVENTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-344-4508"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "58014667",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NY",
            "license": "58-017019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.