Kevin Michael Pasternak, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4287-154 Issued in WI

Practice address

22 E Dayton St
Madison, WI 53703-4154

Phone

(973) 363-4301

NPI assigned

Jul 11, 2016

Sex

Male

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mspigner1219692@direct.uwhealth.org

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

• Forward Voice Care LLC

  • Speech-Language Pathologist
  • West Caldwell, NJ
  • NPI 1790443935
  NPD Authorized official

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1083066385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 E DAYTON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034154",
            "telephone_number": "973-363-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 E DAYTON ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537034154",
            "telephone_number": "973-363-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASTERNAK",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4287-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Pasillas
• Jessica Pasquan, NP
• Aimee L Passini, PA
• Jennifer C. Passini, M.D.
• Daniel Pastan
• Latha V Pasupuleti, MD
• Sangeeta M Patankar
• Emma Doreen Patch, MD
• Abhinav Patel, MD
• Aesha Dharmesh Patel, M.B.B.S.

• Speech-Language Pathologist in Madison, WI
• Providers in Madison, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.