Organization Active NPI

Theracare

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1790048429
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
814615 Issued in NY
Legal business name
THERACARE
Practice address
2730 Frederick Douglass Blvd
5D
New York, NY 10039-3054
Phone
(646) 577-2079
NPI assigned
Jun 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Margarita Long
Title
Special Education Teacher
Phone
(646) 577-2079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 814615 NY Primary

Addresses

Primary practice location

2730 Frederick Douglass Blvd
5D
New York, NY 10039-3054

Mailing address

2730 Frederick Douglass Blvd
5D
New York, NY 10039-3054
Phone (646) 577-2079

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1790048429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 FREDERICK DOUGLASS BLVD",
            "address_2": "5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393054",
            "telephone_number": "646-577-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 FREDERICK DOUGLASS BLVD",
            "address_2": "5D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393054",
            "telephone_number": "646-577-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERACARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "646-577-2079"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "814615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.