Owl Early Intervention Program, LLC.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

OWL EARLY INTERVENTION PROGRAM, LLC.

Practice address

535 Flushing Ave
Brooklyn, NY 11205-1120

Phone

(929) 800-2340

NPI assigned

Jan 14, 2021

Organization subpart

No

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

Authorized official

Name

Gina Levy, M.S. CCC-SLP, TSSLD

Title

Ceo

Phone

(917) 986-5560

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

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

• Gina Orlov, M.S. SLP-CCC TSSLD

  • Speech-Language Pathologist
  • Staten Island, NY
  • NPI 1275849218
  NPD

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610582400000",
    "number": "1942899901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 GLENMORE AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115542828",
            "telephone_number": "917-968-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 FLUSHING AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112051120",
            "telephone_number": "929-800-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWL EARLY INTERVENTION PROGRAM, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-986-5560",
        "authorized_official_credential": "M.S. CCC-SLP, TSSLD"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gina@owlacademyei.com",
            "affiliation": "N",
            "endpointDescription": "Gina's Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "535 Flushing Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112051120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Steven Owens, DO
• Mary Rayven Owens, PHD
• Nina R Owens
• Jennifer Owensby
• Owglct LLC
• Yetunde Owoaje
• Ayobami Gbemiga Owoeye
• Oyewale Ola Owolodun, LPN
• Asafu Kimani Owosu, P.T.
• Mary Owusu Dotwa

• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.