NPIMap

Organization Active NPI

Blazing Journey

  • Early Intervention Provider Agency
  • Queens Village, NY
National Provider Identifier
1801453717
Registry record updated May 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BLAZING JOURNEY
Practice address
22757 113TH Dr
Queens Village, NY 11429-2722
Phone
(718) 749-2849
NPI assigned
May 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2019

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

Authorized official

Name
Janine MartinNPI 1417304627
Title
Director
Phone
(718) 749-2849

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

22757 113TH Dr
Queens Village, NY 11429-2722

Mailing address

22757 113TH Dr
Queens Village, NY 11429-2722
Phone (718) 749-2849

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558915200000",
    "number": "1801453717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22757 113TH DR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292722",
            "telephone_number": "718-749-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22757 113TH DR",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114292722",
            "telephone_number": "718-749-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAZING JOURNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-05-27",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JANINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-749-2849"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.