Organization Active NPI

Diffo DS Corp.

  • Early Intervention Provider Agency
  • Bronx, NY
National Provider Identifier
1982377297
Registry record updated Aug 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
DIFFO DS CORP.
Practice address
3020 Lawton Ave PH
Bronx, NY 10465-3425
Phone
(718) 775-5096
NPI assigned
Aug 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2021

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

Authorized official

Name
Mayra Feliz, MS SP. EDNPI 1194088138
Title
Special Ed Teacher
Phone
(718) 775-5096

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)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

3020 Lawton Ave PH
Bronx, NY 10465-3425

Mailing address

3020 Lawton Ave PH
Bronx, NY 10465-3425
Phone (718) 775-5096

Other identifiers 1

IdentifierTypeStateIssuer
1194088138MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627776000000",
    "number": "1982377297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 LAWTON AVE PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653425",
            "telephone_number": "718-775-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 LAWTON AVE PH",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104653425",
            "telephone_number": "718-775-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIFFO DS CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2021-08-01",
        "certification_date": "2021-08-01",
        "status": "A",
        "authorized_official_last_name": "FELIZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "SPECIAL ED TEACHER",
        "authorized_official_telephone_number": "718-775-5096",
        "authorized_official_credential": "MS SP. ED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194088138",
            "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 Aug 1, 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.