Active NPI
Edward Gelbinovich
- Speech-Language Pathologist
- Doral, FL
National Provider Identifier
1043977549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 10200 NW 25TH St Ste a-108
Doral, FL 33172-5921 - Phone
- (786) 717-5649
- NPI assigned
- Nov 19, 2021
- Reactivated
- Jun 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
10200 NW 25TH St Ste a-108
Doral, FL 33172-5921
Mailing address
924 Pawstand Rd
Celebration, FL 34747-4856
Phone (646) 872-2631
Other practice location 1
2400 S Highway 27 Ste B201
Clermont, FL 34711-6816
Phone (352) 394-0212
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exceptional Speech Therapy | Speech-Language Pathologist | Current | Accepting new patients |
| Exceptional Speech Therapy | Current | Accepting new patients |
Locations
10200 NW 25th St
Ste 108A
Doral, FL 33172
Phone (786) 717-5649
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Doral, FL
- NPI 1740857259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1043977549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 PAWSTAND RD",
"city": "CELEBRATION",
"state": "FL",
"postal_code": "347474856",
"telephone_number": "646-872-2631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10200 NW 25TH ST STE A-108",
"city": "DORAL",
"state": "FL",
"postal_code": "331725921",
"telephone_number": "786-717-5649"
}
],
"practiceLocations": [
{
"address_1": "2400 S Highway 27 Ste B201",
"address_purpose": "LOCATION",
"city": "Clermont",
"state": "FL",
"postal_code": "347116816",
"country_code": "US",
"telephone_number": "352-394-0212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GELBINOVICH",
"first_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-19",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"deactivation_date": "2022-03-04",
"reactivation_date": "2022-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.