Cifuentes Child Development, Corp.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

1076683162 Issued in NY

Legal business name

CIFUENTES CHILD DEVELOPMENT, CORP.

Practice address

9962 211TH PL
Queens Village, NY 11429-1145

Phone

(516) 288-5012

Fax

(718) 217-5159

NPI assigned

Mar 26, 2017

Organization subpart

No

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

Authorized official

Name

Sandra Cifuentes, MSENPI 1306108667

Title

Special Education Provide

Phone

(516) 288-5012

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cifuentes Associates, Corp. Former legal business name

Practitioners 1

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

• Sandra Cifuentes, MSE

  • Developmental Therapist
  • Queens Village, NY
  • NPI 1306108667
  NPD Authorized official

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

{
    "created_epoch": "1490486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1821529322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9962 211TH PL",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291145",
            "telephone_number": "516-288-5012",
            "fax_number": "718-217-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9962 211TH PL",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291145",
            "telephone_number": "516-288-5012",
            "fax_number": "718-217-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIFUENTES CHILD DEVELOPMENT, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-26",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "CIFUENTES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "SPECIAL EDUCATION PROVIDE",
        "authorized_official_telephone_number": "516-288-5012",
        "authorized_official_credential": "MSE"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1076683162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306108667",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821529322",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cifuentes Associates, Corp.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Linda Chu Lam, RPH
• Nkem B Chukwumezie
• Jomol P Chummar
• Yin Yea Chyu, M.D.
• Michael Ciatto, M.D.
• Sandra Cifuentes, MSE
• Circe Lassegue DDS, PLLC
• City Medical of Upper East Side, PLLC
• City Medical of Upper East Side, PLLC
• George James Clark, RPH

• All providers in Queens Village, NY
• 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, 2024; 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.