St. Mary'S Hospital

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

379624681 Issued in NY

Legal business name

ST. MARY'S HOSPITAL

Practice address

9226 Avenue J
Brooklyn
Brooklyn, NY 11236-3935

Phone

(718) 968-2269

Fax

(718) 968-2269

NPI assigned

Jun 1, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Viola Eunice Johnson, TEACHER

Title

Special Education

Phone

(718) 968-2269

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1992931232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9226 AVENUE J",
            "address_2": "BROOKLYN",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11236",
            "telephone_number": "718-968-2269",
            "fax_number": "718-968-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9226 AVENUE J",
            "address_2": "BROOKLYN",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363935",
            "telephone_number": "718-968-2269",
            "fax_number": "718-968-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VIOLA",
        "authorized_official_middle_name": "EUNICE",
        "authorized_official_title_or_position": "SPECIAL EDUCATION",
        "authorized_official_telephone_number": "718-968-2269",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "TEACHER"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "379624681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "931178500",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Brooklyn, NY
• Providers in Brooklyn, 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 1, 2009; 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.