Little Masters Development Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

LITTLE MASTERS DEVELOPMENT CENTER LLC

Practice address

8403 Cuthbert Rd Apt 1a
Kew Gardens, NY 11415-2125

Phone

(347) 454-9082

Fax

(347) 309-5055

NPI assigned

Feb 5, 2024

Organization subpart

No

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

Authorized official

Name

Radion Medvedovskiy, MS SPEDNPI 1861949695

Title

Owner

Phone

(718) 755-1408

Specialties & licenses 1

Addresses

Tax ID family

Little Masters Development Center2 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.

• Little Masters Development Center

  • Early Intervention Provider Agency
  • Brooklyn, NY
  • NPI 1871150227
  NPD tax ID

Practitioners 1

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

• Radion Medvedovskiy

  • Specialist
  • Brooklyn, NY
  • NPI 1861949695
  NPD Authorized official

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1982467767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 CUTHBERT RD APT 1A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152125",
            "telephone_number": "347-454-9082",
            "fax_number": "347-309-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 CUTHBERT RD APT 1A",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114152125",
            "telephone_number": "347-454-9082",
            "fax_number": "347-309-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MASTERS DEVELOPMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "MEDVEDOVSKIY",
        "authorized_official_first_name": "RADION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-755-1408",
        "authorized_official_credential": "MS SPED"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lerner Physical Therapy, PLLC
• Jennifer Rachel Levin, LCSW
• Leah Levy
• Kaitlyn Ann Lewis, MTBC
• Colette C Lipem, PMHNP
• Little Tooth Pediatric Dentistry PLLC
• Xiaoran Liu
• Yuliya Logian
• Dinorah Lombana, LCSW
• Madiliz Lopez, FNP

• Early Intervention Provider Agency in Kew Gardens, NY
• Providers in Kew Gardens, 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 Feb 5, 2024; 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.