Individual provider Active NPI

Sabrina Mallor, M.A

  • Speech-Language Pathologist
  • East Rockaway, NY
National Provider Identifier
1023437522
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
013544 Issued in NY
Practice address
55 Centre Ave
East Rockaway, NY 11518-1001
Phone
(516) 887-8300
NPI assigned
Apr 11, 2014
Last updated
Apr 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 013544 NY Primary

Addresses

Primary practice location

55 Centre Ave
East Rockaway, NY 11518-1001

Mailing address

55 Centre Ave
East Rockaway, NY 11518-1001
Phone (516) 887-8300

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
013544NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1023437522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CENTRE AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181001",
            "telephone_number": "516-887-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CENTRE AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181001",
            "telephone_number": "516-887-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOR",
        "first_name": "SABRINA",
        "name_prefix": "Mrs.",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "013544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.