Organization Active NPI

Gina Lamicella Inc.

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1932652542
Registry record updated Jul 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
478378041 Issued in NY
Legal business name
GINA LAMICELLA INC.
Practice address
15 Rumson Rd
Staten Island, NY 10314-5951
Phone
(917) 345-5354
NPI assigned
Jul 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2016

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

Authorized official

Name
Mrs. Gina Lamicella, MSSP.EDNPI 1548522162
Title
Behavioral Analyst
Phone
(917) 345-5354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 478378041 NY Primary

Addresses

Primary practice location

15 Rumson Rd
Staten Island, NY 10314-5951

Mailing address

15 Rumson Rd
Staten Island, NY 10314-5951
Phone (917) 345-5354

Other identifiers 1

IdentifierTypeStateIssuer
103K00000XMedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1469923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469923200000",
    "number": "1932652542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 RUMSON RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145951",
            "telephone_number": "917-345-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 RUMSON RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103145951",
            "telephone_number": "917-345-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA LAMICELLA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-31",
        "last_updated": "2016-07-31",
        "status": "A",
        "authorized_official_last_name": "LAMICELLA",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "BEHAVIORAL ANALYST",
        "authorized_official_telephone_number": "917-345-5354",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSSP.ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "478378041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103K00000X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2016; 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.