Samantha Koppelman, M.S, CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

030043 Issued in NY

Practice address

850 Baychester Ave
Bronx, NY 10475-1702

Phone

(516) 361-2154

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1003474149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CEDAR ST",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915216",
            "telephone_number": "516-361-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 BAYCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104751702",
            "telephone_number": "516-361-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPELMAN",
        "first_name": "SAMANTHA",
        "credential": "M.S, CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talya Kook, PSY.D
• Aleksandr Kopach, PA
• Harry Kopolovich, M.D., M.B.A.
• Fabio Kopp Vanuzzi, MD
• Sudha Koppaka, M.D.
• Puja Roopa Korabathina, M.D.
• Fatima Korac, LPN
• Erica Korang, NP
• Thomas Korankye
• Janet Koranteng

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.