Active NPI
1111 A Baby'S Wish
- Early Intervention Provider Agency
- New York, NY
National Provider Identifier
1962367581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Early Intervention Provider Agency
- Legal business name
- 1111 A BABY'S WISH
- Practice address
- 447 Broadway
New York, NY 10013-2562 - Phone
- (917) 719-1606
- Fax
- (833) 354-0977
- NPI assigned
- Dec 16, 2025
- 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
- Mrs. Lynette Brittany Mills-Nevills, MSFP
- Title
- C.E.O/Founder
- Phone
- (917) 727-0799
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Early Intervention Provider Agency | 252Y00000X | Primary |
Addresses
Primary practice location
447 Broadway
New York, NY 10013-2562
Mailing address
447 Broadway
New York, NY 10013-2562
Phone (917) 719-1606
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.
-
- Case Manager/Care Coordinator
- Brooklyn, NY
- NPI 1306322904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770163200000",
"number": "1962367581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100132562",
"telephone_number": "917-719-1606",
"fax_number": "833-354-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100132562",
"telephone_number": "917-719-1606",
"fax_number": "833-354-0977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "1111 A BABY'S WISH",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A",
"authorized_official_last_name": "MILLS-NEVILLS",
"authorized_official_first_name": "LYNETTE",
"authorized_official_middle_name": "BRITTANY",
"authorized_official_title_or_position": "C.E.O/FOUNDER",
"authorized_official_telephone_number": "917-727-0799",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSFP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.