Active NPI
Leah Ivory
- Speech-Language Pathologist
- Brooklyn, NY
National Provider Identifier
1073997995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 226 E 4TH St
Brooklyn, NY 11218-2304 - Phone
- (413) 222-0904
- NPI assigned
- Jul 10, 2015
- Last updated
- Jan 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
226 E 4TH St
Brooklyn, NY 11218-2304
Mailing address
226 E 4TH St
Brooklyn, NY 11218-2304
Phone (413) 222-0904
Other practice location 1
255 Executive Dr
Plainview, NY 11803-1718
Phone (516) 576-2040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211201001373 | NY | Practitioner - Qualified Speech Language Pathologist | 6103216452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wihd Inc | Current | Accepting new patients |
Organizations & group practices 1
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": "1436486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1073997995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 E 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182304",
"telephone_number": "413-222-0904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "226 E 4TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112182304",
"telephone_number": "413-222-0904"
}
],
"practiceLocations": [
{
"address_1": "255 Executive Dr",
"address_purpose": "LOCATION",
"city": "Plainview",
"state": "NY",
"postal_code": "118031718",
"country_code": "US",
"telephone_number": "516-576-2040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVORY",
"first_name": "LEAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-10",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"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 Jan 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.