Altagracia Jorge

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

019815 Issued in NY

Legal business name

ALTAGRACIA JORGE

Practice address

258 Sommerville PL
Yonkers, NY 10703-2211

Phone

(914) 562-6918

Fax

(914) 207-8299

NPI assigned

Jun 5, 2012

Organization subpart

No

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

Authorized official

Name

Altagracia Jorge, SPEECH PATHOLOGIST

Title

Speech Pathologist

Phone

(914) 562-6918

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338854400000",
    "number": "1992066021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 SOMMERVILLE PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032211",
            "telephone_number": "914-562-6918",
            "fax_number": "914-207-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 SOMMERVILLE PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107032211",
            "telephone_number": "914-562-6918",
            "fax_number": "914-207-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTAGRACIA JORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "914-562-6918",
        "authorized_official_credential": "SPEECH PATHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "019815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aloysius G. Smith MD (Plastic Surgery Associates of New York)
• Aloysius G. Smith MD PC
• Safa Ali Alsaidi
• Lateefah Alston
• Michelle Antoinette Alston, LCSW
• Chaya Sarah Altman
• Andrea Altshuler, LCSW
• Fabian Gonzalo Alvarado Arindia, MD
• Rosalie O Alvarado, M.D.
• Jiselle Alvarez-Granados, OD

• Early Intervention Provider Agency in Yonkers, NY
• Providers in Yonkers, 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 5, 2012; 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.