Individual provider Active NPI

Feliks Tabenshlak, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Merrick, NY
National Provider Identifier
1053688796
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021495 Issued in NY
Practice address
3337 Seawane Dr
Merrick, NY 11566-5545
Phone
(646) 265-5178
NPI assigned
Nov 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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 021495 NY Primary

Addresses

Primary practice location

3337 Seawane Dr
Merrick, NY 11566-5545

Mailing address

3337 Seawane Dr
Merrick, NY 11566-5545
Phone (646) 265-5178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000325 NY Practitioner - Qualified Speech Language Pathologist 7416114087 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone 71895188002102

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as apm
Quality
79.86
Promoting interoperability
88.89
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
021495NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medicine Mobile PC CurrentSince May 5, 2024 Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Jan 1, 2012 Accepting new patients
Ahava Medical and Rehabilitation Center LLC Past Accepting new patients

Locations

3364 Nostrand Ave
Brooklyn, NY 11229
Phone (347) 570-5348

2555 Nostrand Ave
#1
Brooklyn, NY 11210

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2900 Bragg St
Brooklyn, NY 11235
Phone (718) 615-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1053688796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 SEAWANE DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665545",
            "telephone_number": "646-265-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 SEAWANE DR",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115665545",
            "telephone_number": "646-265-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABENSHLAK",
        "first_name": "FELIKS",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.