Active NPI
Jennifer Graciano, MSE
- Specialist
- Ozone Park, NY
National Provider Identifier
1922544519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 8620 95TH Ave
Apt 2
Ozone Park, NY 11416-1313 - Phone
- (347) 721-0441
- NPI assigned
- Jan 6, 2017
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
8620 95TH Ave
Apt 2
Ozone Park, NY 11416-1313
Mailing address
8620 95TH Ave
Apt 2
Ozone Park, NY 11416-1313
Phone (347) 721-0441
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blooming Minds Child Development, LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Ozone Park, NY
- NPI 1023606019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1922544519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8620 95TH AVE",
"address_2": "APT 2",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161313",
"telephone_number": "347-721-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8620 95TH AVE",
"address_2": "APT 2",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114161313",
"telephone_number": "347-721-0441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRACIANO",
"first_name": "JENNIFER",
"credential": "MSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-06",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ozone Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.