NPIMap

Organization Active NPI

Functional Life Achievement. Ink.

  • Early Intervention Provider Agency
  • New York, NY
National Provider Identifier
1902161649
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
FUNCTIONAL LIFE ACHIEVEMENT. INK.
Practice address
236 2ND Ave
Suite 401
New York, NY 10003-2704
Phone
(212) 683-8905
Fax
(212) 683-8906
NPI assigned
Jul 9, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Meihar Chew I, MAED
Title
Superviser
Phone
(212) 683-8905

Specialties & licenses 1

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

Addresses

Primary practice location

236 2ND Ave
Suite 401
New York, NY 10003-2704

Mailing address

236 2ND Avenue
Suite 401
New York, NY 10003
Phone (212) 683-8905

National Provider Directory

National Provider Directory

Locations

236 2nd Ave
Ste 401
New York, NY 10003
Phone (212) 683-8905

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902161649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 2ND AVENUE",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-683-8905",
            "fax_number": "212-683-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 2ND AVE",
            "address_2": "SUITE 401",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032704",
            "telephone_number": "212-683-8905",
            "fax_number": "212-683-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL LIFE ACHIEVEMENT. INK.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHEW",
        "authorized_official_first_name": "MEIHAR",
        "authorized_official_title_or_position": "SUPERVISER",
        "authorized_official_telephone_number": "212-683-8905",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "MAED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "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 Jul 21, 2022; 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.