Organization Active NPI

Hudson Heights Pediatric Speech, PLLC

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1043943707
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HUDSON HEIGHTS PEDIATRIC SPEECH, PLLC
Practice address
854 W 181St St Apt 3C
New York, NY 10033-4404
Phone
(646) 319-8985
NPI assigned
Jul 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Rafaelina Garcia, CCC-SLP
Title
Speech-Language Pathologist/Owner
Phone
(646) 319-8985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

854 W 181St St Apt 3C
New York, NY 10033-4404

Mailing address

854 W 181St St Apt 3C
New York, NY 10033-4404
Phone (646) 319-8985

Other identifiers 1

IdentifierTypeStateIssuer
03757733MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1043943707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 W 181ST ST APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334404",
            "telephone_number": "646-319-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 W 181ST ST APT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100334404",
            "telephone_number": "646-319-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEIGHTS PEDIATRIC SPEECH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RAFAELINA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "646-319-8985",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03757733",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.