Individual provider Active NPI

Dayo Johnson, SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1104683226
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1041 E 83Rd St
Brooklyn, NY 11236-4225
Phone
(718) 241-7035
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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 Primary

Addresses

Primary practice location

1041 E 83Rd St
Brooklyn, NY 11236-4225

Mailing address

321 Fairmount Ave Apt 55
Jersey City, NJ 07306-4858
Phone (929) 225-6425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319000516 NY Practitioner - Qualified Speech Language Pathologist 6204273899 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
029678NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
My Medical PC CurrentSince Dec 15, 2024 Accepting new patients
Peyman Younesi MD PLLC CurrentSince Mar 1, 2024 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Speech-Language Pathologist CurrentSince Mar 3, 2024 Accepting new patients

Locations

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

3438 Bell Blvd
Ste 301
Bayside, NY 11361

147 2nd Ave
Brentwood, NY 11717
Phone (631) 273-7204

2830 Pitkin Ave
Brooklyn, NY 11208
Phone (347) 420-8295

1041 E 83rd St
Brooklyn, NY 11236
Phone (718) 241-7035

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

8008 45th Ave
Flushing, NY 11373
Phone (718) 373-0777

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

822 Cedar Ave
Niagara Falls, NY 14301
Phone (716) 272-1207

110 Henderson Ave
Staten Island, NY 10301
Phone (516) 295-1924

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1104683226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 FAIRMOUNT AVE APT 55",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064858",
            "telephone_number": "929-225-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E 83RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364225",
            "telephone_number": "718-241-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAYO",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.