Individual provider Active NPI

Meital Demburg, CFYSLP

  • Speech-Language Pathologist
  • North Miami, FL
National Provider Identifier
1033357579
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ4698 Issued in FL
Practice address
1811 NE 146TH St
North Miami, FL 33181-1423
Phone
(305) 949-4191
NPI assigned
Jan 21, 2009
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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 SZ4698 FL Primary

Addresses

Primary practice location

1811 NE 146TH St
North Miami, FL 33181-1423

Mailing address

2750 NE 183 Street
#2306
Aventura, FL 33160
Phone (305) 469-6331

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
SZ4698FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hantalan Dba Kidz Connection Speech-Language Pathologist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1033357579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 NE 183 STREET",
            "address_2": "#2306",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "33160",
            "telephone_number": "305-469-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 NE 146TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331811423",
            "telephone_number": "305-949-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBURG",
        "first_name": "MEITAL",
        "name_prefix": "Ms.",
        "credential": "CFYSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.