MRS. JESSICA BETH BROCK (NPI# 1356909360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356909360 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA BETH BROCK |
| Credential | MS |
| Practice Address |
42 Gwendolyn Pl East Islip NY 11730-3220 |
| Practice Telephone | 6315253202 |
| Mailing Telephone | 6315253202 |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-06-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | NY | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902125024 | Jessica C Brock | Physician Assistant | Endocrinology Clinic, 740 S. Limestone, Lexington, KY 40536-0284 | 2010-05-28 |
| 1962636233 | Jessica M Brock | Radiologic Technologist | 169 Highland Dr, Mandeville, LA 70471 | 2009-05-14 |
| 1376157578 | Jessica Shae Brock | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-09-04 |
| 1851846802 | Jessica Suzanne Brock | Specialist/Technologist | 180 Hansen Ct, Wood Dale, IL 60191-1121 | 2016-08-19 |
| 1891191102 | Jessica Brock | Physical Therapist | 125 Dillmont Dr, Columbus, OH 43235-4658 | 2014-11-13 |
| 1295148914 | Jessica Marie Brock | Nurse Practitioner | 1010 Main St S, Mc Kee, KY 40447-7089 | 2014-06-10 |
| 1740582915 | Jessica Brock | Licensed Practical Nurse | 1680 Walden Ave, Cheektowaga, NY 14225-4914 | 2010-11-22 |
| 1053540450 | Jessica Nicole Brock | Nurse Practitioner | 5955 Airport Blvd, Mobile, AL 36608 | 2009-07-07 |
| 1699925537 | Jessica Gray Brock | Physician Assistant | 4207 Lake Boone Trl Ste 220, Raleigh, NC 27607-6685 | 2008-09-29 |
| Street Address |
42 GWENDOLYN PL |
| City | EAST ISLIP |
| State | NY |
| Zip Code | 11730-3220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568092583 | Exchange Ambulance Corporation of The Islips | Ambulance | 190 Carleton Avenue, East Islip, NY 11730 | 2020-01-17 |
| 1629422639 | Wanda Chisolm | Counselor | 107 East Main Street, East Islip, NY 11730 | 2016-04-15 |
| 1689040990 | Ryan George Baist | Pharmacist | 18 Argyle Drive, East Islip, NY 11730 | 2015-08-20 |
| 1225448855 | Michael John Desivo | Dentist | 228 East Main St, East Islip, NY 11730 | 2014-05-05 |
| 1306279401 | Eileen Henry | Specialist | 81 Country Village Lane, East Islip, NY 11730 | 2013-08-13 |
| 1124306659 | Carol A Ryan-behr | Licensed Practical Nurse | 145 Woodland Ave, East Islip, NY 11730 | 2011-08-02 |
| 1154651768 | Helene Dellas-dibona | Social Worker | 216 Carleton Avenue, East Islip, NY 11730 | 2010-01-04 |
| 1952513921 | Lorraine G Ballou | Social Worker | 31 Sherwood Drive, East Islip, NY 11730 | 2007-05-04 |
| 1235271362 | Robert Anthony Domozych Jr. | Dentist | 127 West Main Street, East Islip, NY 11730 | 2007-02-13 |
| 1477614766 | Kathleen O'neill | Counselor | 265 East Main Street, Tranquility Counseling, East Islip, NY 11730 | 2006-12-12 |
| Find all providers in zip 11730 | ||||
| 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 |
|---|---|---|---|---|
| 1740881994 | Teacher Mommy Daycare Inc. | Early Intervention Provider Agency | 230 W Route 59 Ste 10, Spring Valley, NY 10977-5495 | 2020-11-04 |
| 1285235507 | Maria Ohlson | Early Intervention Provider Agency | 6248 70th St, Middle Village, NY 11379-1214 | 2020-11-03 |
| 1891395521 | Vanessa Arroyo | Early Intervention Provider Agency | 16329 15th Dr, Whitestone, NY 11357-2934 | 2020-10-30 |
| 1972103836 | Celeste Ilene Ross | Early Intervention Provider Agency | 172 W 130th St Ofc 1, New York, NY 10027-2030 | 2020-10-29 |
| 1326647843 | Mg Kids Inc | Early Intervention Provider Agency | 70 Pouch Ter, Staten Island, NY 10305-2704 | 2020-10-26 |
| 1447850862 | Betty Onita Wiltshire | Early Intervention Provider Agency | 725 Snediker Ave Apt 1r, Brooklyn, NY 11207-6640 | 2020-10-26 |
| 1669071320 | Deana Rinaldi Inc | Early Intervention Provider Agency | 2668 Ford St, Brooklyn, NY 11235-1307 | 2020-10-22 |
| 1508464256 | Rachel L Franchi | Early Intervention Provider Agency | 820 Drumgoole Rd W, Staten Island, NY 10312-1975 | 2020-10-14 |
| 1457959520 | Francesca Gentile-laygo | Early Intervention Provider Agency | 16 Van Buren St, Beacon, NY 12508-1523 | 2020-10-12 |
| 1124626403 | Lisa Whyeyeh Smith | Early Intervention Provider Agency | 6143 186th St Ste 436, Fresh Meadows, NY 11365-2710 | 2020-10-09 |
| Find all providers with the same taxonomy | ||||
| City | EAST ISLIP |
| Zip Code | 11730 |
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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.