Jellybean Ei Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

JELLYBEAN EI INC.

Practice address

13524 96TH St
Ozone Park, NY 11417

Phone

(347) 784-7984

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Harry Azcona

Title

President

Phone

(718) 219-8484

Specialties & licenses 2

Addresses

Practitioners 2

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

• Mirolabis Aquino

  • Social Worker
  • Long Island City, NY
  • NPI 1871854869
  NPD
• Aislin Azcona

  • Case Manager/Care Coordinator
  • Ozone Park, NY
  • NPI 1801381348
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1871085696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13524 96TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114172820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13524 96TH ST",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "11417",
            "telephone_number": "347-784-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JELLYBEAN EI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "AZCONA",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-219-8484"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J Grosso DMD PC
• Jacqueline James, RN
• Valerie Patricia Janowski, LMHC
• Fahad Javed, RPH
• JB Pharmacy Inc
• JFK Luxury Limousine Inc.
• Jiang Acupuncture PC
• Xiao-Yan Jiang, LAC
• Reuben G Jimenez, LCSW-R
• Charlotte Johnson

• 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 Nov 1, 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.