Linda Wilken-Delreal

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

665302121 Issued in NY

Practice address

10206 101St Ave
Ozone Park, NY 11416-2622

Phone

(347) 684-8087

NPI assigned

Aug 20, 2015

Last updated

Aug 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Linda E Wilken Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1811363146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162622",
            "telephone_number": "347-684-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10206 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162622",
            "telephone_number": "347-684-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKEN-DELREAL",
        "first_name": "LINDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "665302121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "WILKEN",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Early Intervention Provider Agency in Ozone Park, NY
• Providers in Ozone Park, 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 Aug 20, 2015; 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.