Organization Active NPI

Vicaf. Incorporated

  • Early Intervention Provider Agency
  • Valley Stream, NY
National Provider Identifier
1801187067
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
013411-1 Issued in NY
Legal business name
VICAF. INCORPORATED
Practice address
915 Lynn Dr
Suite 101
Valley Stream, NY 11580
Phone
(718) 414-4588
NPI assigned
Apr 22, 2011
Last updated
Apr 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Authorized official

Name
Dr. Gbenga John Falana, PT,DPT,CSSTNPI 1598056921
Title
Physical Therapist
Phone
(718) 414-4588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 013411-1 NY Primary

Addresses

Primary practice location

915 Lynn Dr
Suite 101
Valley Stream, NY 11580

Mailing address

915 Lynn Dr Ste 101
Valley Stream, NY 11580-1221
Phone (718) 414-4588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1303430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1801187067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 LYNN DR STE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801221",
            "telephone_number": "718-414-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 LYNN DR",
            "address_2": "SUITE 101",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "718-414-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICAF. INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-22",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "FALANA",
        "authorized_official_first_name": "GBENGA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "718-414-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT,CSST"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "013411-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.