Organization Active NPI

Amerimed Eip

  • Early Intervention Provider Agency
  • Staten Island, NY
National Provider Identifier
1942562921
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1381925 Issued in NY
Legal business name
AMERIMED EIP
Practice address
539 Buel Ave
Staten Island, NY 10305-3329
Phone
(646) 823-4780
NPI assigned
Jun 14, 2012
Last updated
Jun 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mrs. Anna Chimireva, MS ED
Title
Teacher
Phone
(646) 823-4780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1381925 NY Primary

Addresses

Primary practice location

539 Buel Ave
Staten Island, NY 10305-3329

Mailing address

539 Buel Ave
Staten Island, NY 10305-3329
Phone (646) 823-4780

Other identifiers 1

IdentifierTypeStateIssuer
1406141MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1942562921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 BUEL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053329",
            "telephone_number": "646-823-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 BUEL AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103053329",
            "telephone_number": "646-823-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIMED EIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "CHIMIREVA",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "TEACHER",
        "authorized_official_telephone_number": "646-823-4780",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "1381925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1406141",
            "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 Jun 14, 2012; 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.