Individual provider Active NPI

Mrinal Kumar Jha, MS

  • Speech-Language Pathologist
  • Lake Success, NY
National Provider Identifier
1063569523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012687-1 Issued in NY
Practice address
1979,Marcus Ave. Suite#204
Global Communication Services Inc
Lake Success, NY 11042
Phone
(516) 327-4681
NPI assigned
Jan 5, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 012687-1 NY Primary

Addresses

Primary practice location

1979,Marcus Ave. Suite#204
Global Communication Services Inc
Lake Success, NY 11042

Mailing address

7251 Little Neck Pkwy
Glen Oaks, NY 11004-1128

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130506000416 NY Practitioner - Qualified Speech Language Pathologist 5698912947 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7649 Hewlett St
New Hyde Park, NY 11040-1429
Phone (212) 388-0767

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012687NYMDChiropractor
012687-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakshmi PT OT SLP Massage Consultants PLLC Speech-Language Pathologist CurrentSince Nov 24, 2014 Accepting new patients
MHH Psychology and Speech-Language Pathology Therapy Services PLLC CurrentSince Feb 3, 2017 Accepting new patients
Welllife Network Inc. Past Accepting new patients
Welllife Network Inc Past Accepting new patients
Welllife Network Inc., Past Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Locations

509 Merrick Rd
Rockville Ctr, NY 11570
Phone (516) 442-1055

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063569523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 LITTLE NECK PKWY",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979,MARCUS AVE. SUITE#204",
            "address_2": "GLOBAL COMMUNICATION SERVICES INC",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-327-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JHA",
        "first_name": "MRINAL",
        "middle_name": "KUMAR",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012687-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Success, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.