NPIMap

Organization Active NPI

Edward D. Mysak Speech and Hearing Center

  • Hearing and Speech Clinic/Center
  • New York, NY
National Provider Identifier
1053646554
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
000535-1 Issued in NY
Legal business name
EDWARD D. MYSAK SPEECH AND HEARING CENTER
Practice address
525 W 120TH St
Box 191
New York, NY 10027-6605
Phone
(212) 678-3409
Fax
(212) 678-3718
NPI assigned
Oct 16, 2009
Organization subpart
Yes
Parent organization
TEACHERS COLLEGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Jo Ann Nicholas, ED.D.
Title
Clinic Director
Phone
(212) 678-3410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 000535-1 NY Primary

Addresses

Primary practice location

525 W 120TH St
Box 191
New York, NY 10027-6605

Mailing address

525 W 120TH St
Box 191
New York, NY 10027-6605
Phone (212) 678-3409

National Provider Directory

National Provider Directory
Tax ID family
Edward D Mysak Clinic for Communication Disorders3 organizations share this tax ID, including this one
Part of
Edward D Mysak Clinic for Communication Disorders

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

525 W 120th St
#191
New York, NY 10027
Phone (212) 678-3409

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1053646554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W 120TH ST",
            "address_2": "BOX 191",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276605",
            "telephone_number": "212-678-3409",
            "fax_number": "212-678-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W 120TH ST",
            "address_2": "BOX 191",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276605",
            "telephone_number": "212-678-3409",
            "fax_number": "212-678-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD D. MYSAK SPEECH AND HEARING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEACHERS COLLEGE",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "JO ANN",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "212-678-3410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NY",
            "license": "000535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 16, 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.