Active NPI
Poorvi Desai, MA OTR/L
- Early Intervention Provider Agency
- New York, NY
National Provider Identifier
1891940953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- License
- 013295-1
- Practice address
- 325 5TH Ave
Apt 24G
New York, NY 10016-5038 - Phone
- (516) 848-6839
- NPI assigned
- Nov 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 013295-1 | NY | Primary |
Addresses
Primary practice location
325 5TH Ave
Apt 24G
New York, NY 10016-5038
Mailing address
325 Fifth Avenue
Apt 24G
New York, NY 10016
Phone (516) 848-6839
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013295-1 | NY | MD | Early Intervention Provider Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226880000000",
"number": "1891940953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 FIFTH AVENUE",
"address_2": "APT 24G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "516-848-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 5TH AVE",
"address_2": "APT 24G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165038",
"telephone_number": "516-848-6839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESAI",
"first_name": "POORVI",
"credential": "MA OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-17",
"last_updated": "2008-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "NY",
"license": "013295-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.