Hetal Shah, MS, CCC-SLP, TSHH

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

012964-1 Issued in NY

Practice address

10440 Queens Blvd
18 Y
Forest Hills, NY 11375-3658

Phone

(646) 528-3738

NPI assigned

Apr 15, 2009

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": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1033352398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 QUEENS BLVD",
            "address_2": "18 Y",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753658",
            "telephone_number": "646-528-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 QUEENS BLVD",
            "address_2": "18 Y",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753658",
            "telephone_number": "646-528-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HETAL",
        "name_prefix": "Ms.",
        "credential": "MS, CCC-SLP, TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012964-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Seward
• Khalidah Sexton
• Paul Shackatano, DMD
• Krista Ann Shafir, MA, CCC-SLP
• Daniel Nathan Shafman
• Kamini Shah, M.D.
• Navpreet Shah, PA C
• Prachi Shah
• Rajendra C Shah, MD
• Maryam Shahab, MD

• 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 Apr 15, 2009; 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.