Molding Young Minds LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

MOLDING YOUNG MINDS LLC

Practice address

311 New York Ave
Lindenhurst, NY 11757-3306

Phone

(917) 592-2506

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Jillann Michelle Lewis, MS

Title

Sole Member/Owner

Phone

(917) 592-2506

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1962063073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NEW YORK AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573306",
            "telephone_number": "917-592-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NEW YORK AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573306",
            "telephone_number": "917-592-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLDING YOUNG MINDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JILLANN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "917-592-2506",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Misiano-Ippolito, RN BSN
• Aldona Mitek-Gorecki, M.D.
• Alaaeldin F. Moawad, M.D.
• Lianna Mocera
• Syamala Mohan, RN
• Gehrig Anthony Montoro, DPT
• Jaysa S Morales
• Silas J Morris, MD
• Maria Mossa
• Betty T Motroni, MD

• Early Intervention Provider Agency in Lindenhurst, NY
• Providers in Lindenhurst, 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 Jun 28, 2019; 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.