Good Life Advancement and Development Inc

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

GOOD LIFE ADVANCEMENT AND DEVELOPMENT INC

Practice address

65 Marine Way FL 2
Staten Island, NY 10306-5733

Phone

(646) 541-3424

NPI assigned

Dec 3, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Veronica Bakhrakh, MSED/SP.ED.NPI 1154684256

Title

President

Phone

(646) 541-3424

Specialties & licenses 1

Addresses

Other names 1

• G.L.A.D. Inc. Other name

Practitioners 1

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

• Veronica Bakhrakh

  • Specialist
  • Brooklyn, NY
  • NPI 1154684256
  NPD Authorized official

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1881410041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MARINE WAY FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065733",
            "telephone_number": "646-541-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MARINE WAY FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065733",
            "telephone_number": "646-541-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE ADVANCEMENT AND DEVELOPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BAKHRAKH",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-541-3424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSED/SP.ED."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G.L.A.D. Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Caitlin Gonzalo, MS, RN, FNP-BC
• Lori Gonzalo, RPA-C
• Good Care PT PC
• Good Faith Adult Day Care Inc
• Good Faith Social Daycare
• Good Looking Optical Corp
• Mary E. Goodacre, M.A., CCCA
• Karen Goode
• Mark Goodenough, DDS, MD
• Christina Marie Goodheart, MA, CCC-SLP

• Early Intervention Provider Agency in Staten Island, NY
• Providers in Staten Island, 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 Dec 3, 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.