Active NPI
Beelight Educator for Kids
- Early Intervention Provider Agency
- Bronx, NY
National Provider Identifier
1952928855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- BEELIGHT EDUCATOR FOR KIDS
- Practice address
- 140 Benchley PL Apt 29K
Bronx, NY 10475-3530 - Phone
- (347) 708-4016
- NPI assigned
- Jun 26, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delilah Worrell, MS
- Title
- Owner
- Phone
- (347) 708-4016
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
140 Benchley PL Apt 29K
Bronx, NY 10475-3530
Mailing address
140 Benchley PL Apt 29K
Bronx, NY 10475-3530
Phone (347) 708-4016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124400122 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Bronx, NY
- NPI 1124400122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593129600000",
"number": "1952928855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 BENCHLEY PL APT 29K",
"city": "BRONX",
"state": "NY",
"postal_code": "104753530",
"telephone_number": "347-708-4016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 BENCHLEY PL APT 29K",
"city": "BRONX",
"state": "NY",
"postal_code": "104753530",
"telephone_number": "347-708-4016"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEELIGHT EDUCATOR FOR KIDS",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A",
"authorized_official_last_name": "WORRELL",
"authorized_official_first_name": "DELILAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-708-4016",
"authorized_official_credential": "MS"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124400122",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.