BROOKE RANDALL (NPI# 1891315677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891315677 |
| Entity Type | Individual |
| Full Name | BROOKE RANDALL |
| Practice Address |
1110 South Ave Staten Island NY 10314-3403 |
| Mailing Address |
48 Ashley Ln Staten Island NY 10309-4315 |
| Practice Telephone | 8667078669 |
| Mailing Telephone | 5184291515 |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720121056 | Brooke L Randall | Specialist/Technologist | 6120 Stadium Dr, Suite 100, Kalamazoo, MI 49009-3022 | 2007-02-15 |
| Street Address |
1110 SOUTH AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609860121 | Michele Cammarata | Family Medicine | 1110 South Ave, Suite 306, Staten Island, NY 10314-3403 | 2005-09-12 |
| 1114551363 | Alyssa Elizabeth Ryan | Social Worker | 1110 South Ave, Staten Island, NY 10314-3403 | 2020-02-26 |
| 1548822372 | Nicole Vento | Case Manager/Care Coordinator | 1110 South Ave, Suite 405, Staten Island, NY 10314-3414 | 2019-07-02 |
| 1336707033 | Edyta Knobloch | Counselor | 1110 South Ave, Staten Island, NY 10314-3403 | 2019-05-29 |
| 1649760141 | Ashley Santucci | Occupational Therapist | 1110 South Ave, Staten Island, NY 10314-3403 | 2018-05-10 |
| 1558866103 | Jennifer Colon | Case Manager/Care Coordinator | 1110 South Ave, Staten Island, NY 10314-3403 | 2018-03-27 |
| 1740795467 | John Mccahey | Specialist | 1110 South Ave, Staten Island, NY 10314-3403 | 2017-12-04 |
| 1083160170 | Jacqueline Shall-mccumiskey | Psychologist | 1110 South Ave, Suite 5, Staten Island, NY 10314-3403 | 2016-08-29 |
| 1346601333 | Penrose Dermatology Pllc | Clinic/Center | 1110 South Ave, Suite 400, Staten Island, NY 10314-3403 | 2016-03-17 |
| 1790155372 | Laura Parisi | Counselor | 1110 South Ave, Suite 5, Staten Island, NY 10314-3403 | 2015-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| 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 | 10314 |
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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.