NPIMap

Organization Active NPI

Little Masters Development Center

  • Early Intervention Provider Agency
  • Brooklyn, NY
National Provider Identifier
1871150227
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LITTLE MASTERS DEVELOPMENT CENTER
Practice address
155 Oceana Dr E Apt 2a
Brooklyn, NY 11235-6684
Phone
(718) 755-1408
NPI assigned
May 21, 2019
Reactivated
Feb 6, 2024
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Radion Medvedovskiy, MS SPEDNPI 1861949695
Title
Director
Phone
(718) 755-1408

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 1

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

Addresses

Primary practice location

155 Oceana Dr E Apt 2a
Brooklyn, NY 11235-6684

Mailing address

8403 Cuthbert Rd Apt 1a
Kew Gardens, NY 11415-2125
Phone (718) 755-1408

National Provider Directory

National Provider Directory
Tax ID family
Little Masters Development Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1871150227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 CUTHBERT RD APT 1A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152125",
            "telephone_number": "718-755-1408",
            "fax_number": "347-309-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 OCEANA DR E APT 2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356684",
            "telephone_number": "718-755-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MASTERS DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "deactivation_date": "2024-02-02",
        "reactivation_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MEDVEDOVSKIY",
        "authorized_official_first_name": "RADION",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-755-1408",
        "authorized_official_credential": "MS SPED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.