Umit Dasdogen
Individual provider Active NPI Speech-Language Pathologist · Newark, DE
NPI 1104467208 · NPPES record last updated Oct 1, 2019
Key facts
- NPI
- 1104467208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- O40000637 (DE)
- Practice address
- 540 S College Ave Ste 102
Newark, DE 19713-1302 - Phone
- (302) 831-7100
- NPI assigned
- Oct 1, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Icahn School of Medicine at Mount Sinai
Practice addresses (Care Compare)
1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-6870
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231121002500 | NY | Practitioner - Qualified Speech Language Pathologist | 5395178362 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O40000637 | DE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | O40000637 | DE | Yes |
Addresses
Primary practice location
540 S College Ave Ste 102
Newark, DE 19713-1302
Mailing address
540 S College Ave Ste 102
Newark, DE 19713-1302
Phone (302) 831-7100
Other providers in Newark, DE
- Juliet Janice Daniels
- Kelly Ann Danks
- Danta Management LLC
- Lindsay Daqui
- Nealanjon P. Das
- Adrienne Daskus-Ferm
- David D Zabel M.D., P.a
- David S. Grubbs, M.D., P.a.
- Rochelle Davidson
- Angela D Davis Brown
All providers in Newark, DE · Speech-Language Pathologist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.