NPIMap

Organization Active NPI

Bravo Kids, Inc.

  • Early Intervention Provider Agency
  • North Babylon, NY
National Provider Identifier
1821623588
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
BRAVO KIDS, INC.
Practice address
70 Pacific St
North Babylon, NY 11703-4108
Phone
(516) 668-3792
Fax
(866) 898-2506
NPI assigned
Mar 3, 2020
Last updated
Aug 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Deborah S JeanNPI 1770820607
Title
Special Ed Teacher
Phone
(516) 668-3792

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 NU
Early Intervention Provider Agency 252Y00000X NU Primary

Addresses

Primary practice location

70 Pacific St
North Babylon, NY 11703-4108

Mailing address

70 Pacific St
North Babylon, NY 11703-4108
Phone (516) 668-3792

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1583193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1821623588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 PACIFIC ST",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034108",
            "telephone_number": "516-668-3792",
            "fax_number": "866-898-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PACIFIC ST",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117034108",
            "telephone_number": "516-668-3792",
            "fax_number": "866-898-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO KIDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SPECIAL ED TEACHER",
        "authorized_official_telephone_number": "516-668-3792"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.