CMS-1500 Box 24J / 33a • NPI
1063626547
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
252Y00000X
Licensed & Credentialed Early Intervention Provider Agency
Box 32 Service Location & ZIP+4
1150 SUMMER ST, STAMFORD, CT, 06905-5530
✓ 9-Digit EDI 837 ZIP+4 (06905-5530)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1063626547 (ABILIS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1063626547 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | ABILIS |
| Plain-English Specialty | Licensed & Credentialed Early Intervention Provider Agency NUCC Code: 252Y00000X (Early Intervention Provider Agency) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1150 SUMMER ST, STAMFORD, CT, 06905-5530 |
| Practice Telephone / Fax | Tel: (203) 324-1880 | Fax: (203) 324-4390 |
| Administrative Mailing Address | 50 GLENVILLE ST, GREENWICH, CT, 06831-4140 |
| Enumeration & Last Sync | Enumerated: 2007-05-10 | CMS Record Updated: 2022-08-09 |
| Authorized Official | BARBARA MUSTAKAS (Billing Specialist) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (252Y00000X)
What Does Taxonomy Code 252Y00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 252Y00000X translates to:
"Licensed & Credentialed Early Intervention Provider Agency"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (ABILIS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
252Y00000X — Early Intervention Provider AgencyPlain English: Licensed & Credentialed Early Intervention Provider Agency | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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