NPIMap

Organization Active NPI

Lifebridge Comprehensive Services, Inc

  • Early Intervention Provider Agency
  • Bayside, NY
National Provider Identifier
1922495316
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
LIFEBRIDGE COMPREHENSIVE SERVICES, INC
Practice address
49-19 Francis Lewis Blvd. #LL
Bayside, NY 11361
Phone
(718) 631-1034
Fax
(718) 631-1035
NPI assigned
Apr 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Sunghee Rheem
Title
President
Phone
(718) 631-1034

Specialties & licenses 1

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

Addresses

Primary practice location

49-19 Francis Lewis Blvd. #LL
Bayside, NY 11361

Mailing address

215-10 Northern Blvd. Suite 202
Bayside, NY 11361
Phone (718) 631-1034

National Provider Directory

National Provider Directory

Locations

21510 Northern Blvd
Ste 202
Bayside, NY 11361
Phone (718) 361-1034

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1922495316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215-10 NORTHERN BLVD. SUITE 202",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-631-1034",
            "fax_number": "718-631-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49-19 FRANCIS LEWIS BLVD. #LL",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "718-631-1034",
            "fax_number": "718-631-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEBRIDGE COMPREHENSIVE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-23",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "RHEEM",
        "authorized_official_first_name": "SUNGHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-631-1034"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.