Individual provider Active NPI

Alena Abayev, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Richmond Hill, NY
National Provider Identifier
1104116128
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
018221-1 Issued in NY
Practice address
13411 Kew Gardens Rd
Richmond Hill, NY 11418-1930
Phone
(718) 441-0155
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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 018221-1 NY Primary

Addresses

Primary practice location

13411 Kew Gardens Rd
Richmond Hill, NY 11418-1930

Mailing address

6485 Saunders St Apt F8
Rego Park, NY 11374-3282
Phone (718) 997-1940

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
018221-1NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1104116128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6485 SAUNDERS ST APT F8",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743282",
            "telephone_number": "718-997-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13411 KEW GARDENS RD",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181930",
            "telephone_number": "718-441-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABAYEV",
        "first_name": "ALENA",
        "name_prefix": "Miss",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "018221-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.