Active NPI
Alexandra Faith Addabbo
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1013367887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 025672
- Practice address
- 134 W 26TH St
Suite #602
New York, NY 10001-6803 - Phone
- (212) 604-9360
- NPI assigned
- Jun 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 025672 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 41YS00848500 | NJ |
Addresses
Primary practice location
134 W 26TH St
Suite #602
New York, NY 10001-6803
Mailing address
97 E 7TH St
#5
New York, NY 10009-5735
Phone (860) 748-9537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025672 | NY | MD | Massage Therapist |
| 41YS00848500 | NJ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City Sounds of Ny | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- New York, NY
- NPI 1578870721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1013367887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 E 7TH ST",
"address_2": "#5",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100095735",
"telephone_number": "860-748-9537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 W 26TH ST",
"address_2": "SUITE #602",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016803",
"telephone_number": "212-604-9360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDABBO",
"first_name": "ALEXANDRA",
"middle_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-13",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "025672",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00848500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.