Melissa Zellermaier Blum, M.A SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017631 Issued in NY

Practice address

11011 Queens Blvd Apt 14K
Forest Hills, NY 11375-5405

Phone

(516) 984-7647

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

No

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 Arts

State licenses

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1013625318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 QUEENS BLVD APT 14K",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755405",
            "telephone_number": "516-984-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 QUEENS BLVD APT 14K",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755405",
            "telephone_number": "516-984-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "MELISSA",
        "middle_name": "ZELLERMAIER",
        "name_prefix": "Mrs.",
        "credential": "M.A SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Paulette Blitz, RPH
• Daniel C Block, DDS
• Maria del Carmen Blondet de Gamarra
• Allison Bloom, MD
• Debra Blum, DDS
• BM Nurse Practitioner in Family Health PC
• Diane Boardman, M.A. CCC-SLP
• Jessica Bobadilla, WHNP
• Bodian Medical Services of Forest Hills PC
• Morufat Bodunrin, NP

• Speech-Language Pathologist in Forest Hills, NY
• Providers in Forest Hills, 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 Nov 7, 2022; 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.