Individual provider Active NPI

Sara Rokeach, MS CCC SLP TSLD

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1073754404
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
017802 Issued in NY
Practice address
3302 Avenue P
Brooklyn, NY 11234-3412
Phone
(718) 376-1541
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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 017802 NY Primary

Addresses

Primary practice location

3302 Avenue P
Brooklyn, NY 11234-3412

Mailing address

3302 Avenue P
Brooklyn, NY 11234-3412
Phone (718) 376-1541

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
017802NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1073754404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343412",
            "telephone_number": "718-376-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343412",
            "telephone_number": "718-376-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROKEACH",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP TSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

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