Dynamic Care Associate LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0233701 Issued in NY

Legal business name

DYNAMIC CARE ASSOCIATE LLC.

Practice address

1479 Prospect PL
Ste 2
Brooklyn, NY 11213-2490

Phone

(718) 986-9306

Fax

(877) 585-0047

NPI assigned

Aug 1, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Rezia Yoshika Luke, SLP-CCC

Title

Owner/Speech Langauage Pathologist

Phone

(718) 986-9306

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1053729111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 PROSPECT PL",
            "address_2": "STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132490",
            "telephone_number": "718-986-9306",
            "fax_number": "877-585-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 PROSPECT PL",
            "address_2": "STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112132490",
            "telephone_number": "718-986-9306",
            "fax_number": "877-585-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CARE ASSOCIATE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "LUKE",
        "authorized_official_first_name": "REZIA",
        "authorized_official_middle_name": "YOSHIKA",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGAUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "718-986-9306",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0233701",
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "0233701",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "0233701",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NY",
            "license": "0233701",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NY",
            "license": "0233701",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "0233701",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NY",
            "license": "0233701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Brooklyn, NY
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• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.