Individual provider Active NPI

Ahavah Ben-Dan

  • Speech-Language Pathologist
  • Spring Valley, NY
National Provider Identifier
1083840656
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
012940-1 Issued in NY
Practice address
7 Rodman PL
Spring Valley, NY 10977-1508
Phone
(845) 354-1084
Fax
(845) 362-7710
NPI assigned
Jun 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 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 012940-1 NY Primary

Addresses

Primary practice location

7 Rodman PL
Spring Valley, NY 10977-1508

Mailing address

7 Rodman PL
Spring Valley, NY 10977-1508
Phone (845) 354-1084

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

State licenses

LicenseStateTypeSpecialty
012940-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1083840656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RODMAN PL",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771508",
            "telephone_number": "845-354-1084",
            "fax_number": "845-362-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RODMAN PL",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771508",
            "telephone_number": "845-354-1084",
            "fax_number": "845-362-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEN-DAN",
        "first_name": "AHAVAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "012940-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.