Individual provider Active NPI

Tiina Ly Salmre-Joks

  • Early Intervention Provider Agency
  • Port Washington, NY
National Provider Identifier
1871933556
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
989878001 Issued in NY
Practice address
21 Shore Rd
Port Washington, NY 11050-2751
Phone
(516) 883-1724
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 132560021 NY
Early Intervention Provider Agency 252Y00000X 989878001 NY Primary

Addresses

Primary practice location

21 Shore Rd
Port Washington, NY 11050-2751

Mailing address

21 Shore Rd
Port Washington, NY 11050-2751
Phone (516) 883-1724

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

State licenses

LicenseStateTypeSpecialty
132560021NYMDEarly Intervention Provider Agency
989878001NYMDEarly Intervention Provider Agency

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1871933556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SHORE RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502751",
            "telephone_number": "516-883-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SHORE RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502751",
            "telephone_number": "516-883-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMRE-JOKS",
        "first_name": "TIINA",
        "middle_name": "LY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "132560021",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "989878001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.