Active NPI
Leap for Kids
- Early Intervention Provider Agency
- Rochester, NY
National Provider Identifier
1831611722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- LEAP FOR KIDS
- Practice address
- 1100 University Ave
Rochester, NY 14607-1653 - Phone
- (585) 797-9366
- NPI assigned
- Jul 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Mauro
- Title
- Owner/Executive Director
- Phone
- (585) 298-8876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
1100 University Ave
Rochester, NY 14607-1653
Mailing address
6512 N Lake Rd
Bergen, NY 14416-9540
Phone (585) 813-9428
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499817600000",
"number": "1831611722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6512 N LAKE RD",
"city": "BERGEN",
"state": "NY",
"postal_code": "144169540",
"telephone_number": "585-813-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 UNIVERSITY AVE",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146071653",
"telephone_number": "585-797-9366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAP FOR KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A",
"authorized_official_last_name": "MAURO",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "585-298-8876"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.