Annette L. Edelstein

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

022736-1 Issued in NY

Practice address

2191 Creston Ave Apt 5D
Bronx, NY 10453-2621

Phone

(646) 721-8903

NPI assigned

Apr 15, 2013

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Mattiyahu Inc.

  • Speech-Language Pathologist
  • Bronx, NY
  • NPI 1912400870
  NPD (past) Authorized official

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1093158446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 CRESTON AVE APT 5D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104532621",
            "telephone_number": "646-721-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 CRESTON AVE APT 5D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104532621",
            "telephone_number": "646-721-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104634925",
            "country_code": "US",
            "telephone_number": "718-884-7281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "ANNETTE",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022736-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marsha F Edell, LCSW
• Daniel Edelman
• David Seth Edelman
• Etana D Edelman
• Deborah Edelstein-Weiss, SLP
• Michael Charles Edelstein, DPM
• Temituoyo Edema
• Melinda Eden
• Ryan Edens
• Edenwald Pharmacy Inc.

• Speech-Language Pathologist in Bronx, NY
• Providers in Bronx, 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 Mar 16, 2018; 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.