Big Apple Autism Services Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

000208 Issued in NY

Legal business name

BIG APPLE AUTISM SERVICES INC.

Practice address

1626 Putney Rd
Valley Stream, NY 11580-1818

Phone

(516) 543-7710

Fax

(718) 441-9373

NPI assigned

May 23, 2015

Last updated

Apr 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marjorie Gabriel, MS.ED/BCBANPI 1427319318

Title

President

Phone

(516) 543-7710

Specialties & licenses 3

Addresses

Other identifiers 2

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.

• Marjorie Gabriel, M.S.ED/ BCBA

  • Behavior Analyst
  • Valley Stream, NY
  • NPI 1427319318
  NPD (past) Authorized official

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

{
    "created_epoch": "1432339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1801275870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801818",
            "telephone_number": "516-543-7710",
            "fax_number": "718-441-9373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 PUTNEY RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801818",
            "telephone_number": "516-543-7710",
            "fax_number": "718-441-9373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG APPLE AUTISM SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-23",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-543-7710",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS.ED/BCBA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "000208",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "0117471",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "000208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02154483",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL SHARENE LEWIS",
            "identifier": "1538312608",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Valley Stream, NY
• Providers in Valley Stream, 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 Apr 24, 2017; 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.