Sara Peck

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

58024725 Issued in NY

Practice address

150 W 92ND St Apt BB
New York, NY 10025-7556

Phone

(212) 595-1705

NPI assigned

Aug 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1073999736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E 83RD ST",
            "address_2": "APT. C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100285515",
            "telephone_number": "617-894-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W 92ND ST APT BB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100257556",
            "telephone_number": "212-595-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "SARA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "58024725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Peck
• Judith Stern Peck, M.S.W,
• Kara Nicole Peck, PA-C
• Linda S Peck, LCAT
• Rochelle L Peck, MD
• Spencer Paul Peck
• Valerie Peck, MD
• Mark Pecker, MD
• Geoffrey Peckover, MD
• Anita Pecorara

• Speech-Language Pathologist in New York, NY
• Providers in New York, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.