Individual provider Active NPI

Ashley C Linder

  • Early Intervention Provider Agency
  • Forest Hills, NY
National Provider Identifier
1861089609
Registry record updated Dec 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Practice address
10818 Queens Blvd Ste 4A5Th
Forest Hills, NY 11375-4748
Phone
(347) 533-0946
Fax
(888) 975-7704
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

10818 Queens Blvd Ste 4A5Th
Forest Hills, NY 11375-4748

Mailing address

345 Lincoln Ave
Brooklyn, NY 11208-3016
Phone (347) 533-0946

Other identifiers 1

IdentifierTypeStateIssuer
256260OtherNYEARLY INTERVENTION PROGRAM

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL aees

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1861089609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LINCOLN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112083016",
            "telephone_number": "347-533-0946",
            "fax_number": "888-975-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 QUEENS BLVD STE 4A5TH",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754748",
            "telephone_number": "347-533-0946",
            "fax_number": "888-975-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "ASHLEY",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EARLY INTERVENTION PROGRAM",
            "identifier": "256260",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aees",
            "affiliation": "N",
            "endpointDescription": "Service Coordinator",
            "address_1": "10818 Queens Blvd Ste 4A5th",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.