DZENETA DIZDARVIC (NPI# 1154767390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154767390 |
| Entity Type | Individual |
| Full Name | DZENETA DIZDARVIC |
| Practice Address |
400 Lake Ave Staten Island NY 10303-2629 |
| Practice Telephone | 7188163420 |
| Practice Fax Number | 7188163488 |
| Mailing Telephone | 7188163420 |
| Mailing Fax Number | 7188163488 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| Street Address |
400 LAKE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10303-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620394 | Milady Alejandra Zepeda | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2696 | 2020-02-12 |
| 1457992067 | Taylor Christy Igneri | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2696 | 2019-10-04 |
| 1255819884 | Angelica Garcia | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2018-08-06 |
| 1932574449 | Stacey Smith | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2015-12-09 |
| 1225435373 | Lisa C Blackwell | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2014-12-04 |
| 1780091769 | Visiting Nurses Association | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2014-07-22 |
| 1073944757 | Elsie Dejesus | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1023449600 | Nicole Perry | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1720419401 | Michael David Geller | Case Manager/Care Coordinator | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-12-06 |
| 1730514753 | Shawn M Richardson | Case Management | 400 Lake Ave, Staten Island, NY 10303-2629 | 2013-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114580297 | Krisiya Ilianna Deschamps-perez | Registered Nurse | 12 Kinsey Pl, Staten Island, NY 10303 | 2019-04-15 |
| 1376057398 | Vine Gate Inc. | Case Management | 42 Amity Pl, Staten Island, NY 10303 | 2017-11-29 |
| 1396289815 | Lateefat Onitiri | Licensed Practical Nurse | 21 Wright Avenue, Staten Island, NY 10303 | 2016-12-19 |
| 1922466101 | Lydia Ogaja | Registered Nurse | 176 B Netherland Avenue, Staten Island, NY 10303 | 2016-02-03 |
| 1679994594 | Sibi Abraham | Physical Therapist | 2324 Forest Ave Ny, Staten Island, NY 10303 | 2013-12-18 |
| 1750633442 | Geraldine Gamboa | Physical Therapist | 939 Goethals Road North, Unit 1, Staten Island, NY 10303 | 2012-10-05 |
| 1710235635 | Michael J. Tighe | Specialist | 400 Lake Avenue, Visiting Nurse Association, Staten Island, NY 10303 | 2012-08-27 |
| 1710232798 | Funmilola Azeezat Kolawole | Licensed Practical Nurse | 85 Lockman Av, Staten Island, NY 10303 | 2012-07-17 |
| 1396013520 | Destiny Rodriguez | Interpreter | 35 Holland Ave. Apt. 8c, Staten Island, NY 10303 | 2011-12-02 |
| 1497043756 | Margaret Ultra Home Care Inc. | Licensed Practical Nurse | 271b Maple Parkway, Staten Island, NY 10303 | 2011-07-20 |
| Find all providers in zip 10303 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647843 | Mg Kids Inc | Early Intervention Provider Agency | 70 Pouch Ter, Staten Island, NY 10305-2704 | 2020-10-26 |
| 1508464256 | Rachel L Franchi | Early Intervention Provider Agency | 820 Drumgoole Rd W, Staten Island, NY 10312-1975 | 2020-10-14 |
| 1134738446 | Gamma Brainwaves Inc | Early Intervention Provider Agency | 151 Gateway Dr, Staten Island, NY 10304-4442 | 2020-07-23 |
| 1801411780 | Vesa Group Inc. | Early Intervention Provider Agency | 41 Gibson Ave, Staten Island, NY 10308-2041 | 2020-06-16 |
| 1073137600 | Anna Zolotarev | Early Intervention Provider Agency | 192 Pembrook Loop, Staten Island, NY 10309-1817 | 2020-05-29 |
| 1083247837 | Irina's Kids Corp | Early Intervention Provider Agency | 30 Pierpont Pl, Staten Island, NY 10314-5955 | 2020-02-20 |
| 1528608858 | Lucy Moshkov | Early Intervention Provider Agency | 1854 Hylan Blvd, Staten Island, NY 10305-2119 | 2020-01-15 |
| 1255976072 | Inna Doyle | Early Intervention Provider Agency | 15 Callahan Ln, Staten Island, NY 10307-2406 | 2019-11-15 |
| 1568006625 | Inspired By Speech P.C. | Early Intervention Provider Agency | 410 Greeley Ave, Staten Island, NY 10306-5049 | 2019-11-01 |
| 1609410117 | Young Minds Early Enrichment | Early Intervention Provider Agency | 143 Wiman Avenue, Staten Island, NY 10308 | 2019-10-29 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10303 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.