Organization Active NPI

Atd Technology LLC

  • Early Intervention Provider Agency
  • Lake Grove, NY
National Provider Identifier
1972496594
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
ATD TECHNOLOGY LLC
Practice address
4 Arbor Field Way
Lake Grove, NY 11755-1835
Phone
(631) 463-7000
Fax
(631) 615-6501
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Merzena Raghurai
Title
President and Founder
Phone
(631) 463-7000

Specialties & licenses 1

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

Addresses

Primary practice location

4 Arbor Field Way
Lake Grove, NY 11755-1835

Mailing address

4 Arbor Field Way
Lake Grove, NY 11755-1835
Phone (631) 463-7000

National Provider Directory

National Provider Directory
Tax ID family
Atd Technology LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1972496594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ARBOR FIELD WAY",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551835",
            "telephone_number": "631-463-7000",
            "fax_number": "631-615-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ARBOR FIELD WAY",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551835",
            "telephone_number": "631-463-7000",
            "fax_number": "631-615-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATD TECHNOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "RAGHURAI",
        "authorized_official_first_name": "MERZENA",
        "authorized_official_title_or_position": "PRESIDENT AND FOUNDER",
        "authorized_official_telephone_number": "631-463-7000"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.