Individual provider Active NPI

Devorah Esther Feigenbaum, M.S., CCC

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1104195155
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
014792-1 Issued in NY
Practice address
2324 W 13TH St
Brooklyn, NY 11223-5639
Phone
(718) 946-1413
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 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 014792-1 NY Primary

Addresses

Primary practice location

2324 W 13TH St
Brooklyn, NY 11223-5639

Mailing address

1924 New York Ave
Brooklyn, NY 11210-4137

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
014792-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1104195155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 NEW YORK AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235639",
            "telephone_number": "718-946-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIGENBAUM",
        "first_name": "DEVORAH",
        "middle_name": "ESTHER",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "014792-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.