Individual provider Active NPI

Michaela Aymong

  • Speech-Language Pathologist
  • Flushing, NY
National Provider Identifier
1023623345
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
030068 Issued in NY
Practice address
14230 Barclay Ave
Flushing, NY 11355-2558
Phone
(171) 835-9032
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 030068 NY Primary

Addresses

Primary practice location

14230 Barclay Ave
Flushing, NY 11355-2558

Mailing address

14230 Barclay Ave
Flushing, NY 11355-2558
Phone (171) 835-9032

Other practice location 1

13720 Franklin Ave
Flushing, NY 11355-3871
Phone (171) 844-5573

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maymong@schools.nyc.gov

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

LicenseStateTypeSpecialty
030068NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1023623345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14230 BARCLAY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552558",
            "telephone_number": "171-835-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14230 BARCLAY AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552558",
            "telephone_number": "171-835-9032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13720 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113553871",
            "country_code": "US",
            "telephone_number": "171-844-5573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYMONG",
        "first_name": "MICHAELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "030068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maymong@schools.nyc.gov",
            "affiliation": "N",
            "endpointDescription": "DOE email",
            "address_1": "14230 Barclay Ave",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113552558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.