1730221847 NPI number — GETTING AHEAD PROGRAMS

Table of content: (NPI 1730221847)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730221847 NPI number — GETTING AHEAD PROGRAMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GETTING AHEAD PROGRAMS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
GETTING AHEAD PROGRAMS OF SPEAKING EDUCATION AND PSYCHOLOGICAL SERVICE
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730221847
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 754
Provider Second Line Business Mailing Address:
40 QUEENS ST
Provider Business Mailing Address City Name:
SYOSSET
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11791-0754
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-364-5084
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3375 PARK AVE
Provider Second Line Business Practice Location Address:
SUITE 4000
Provider Business Practice Location Address City Name:
WANTAGH
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11793
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-364-5084
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GOLDBERG
Authorized Official First Name:
CAROL
Authorized Official Middle Name:
GENE
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
516-364-5084

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  3668 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103T00000X , with the licence number: 4715 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103T00000X , with the licence number: 1817 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TA0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TC0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TC1900X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TC2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 103TH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 02532685 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".




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