Individual provider Active NPI

Anna Lejuez, M.A.

  • Speech-Language Pathologist
  • East Elmhurst, NY
National Provider Identifier
1114291713
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
022194 Issued in NY
Practice address
9801 25TH Ave
East Elmhurst, NY 11369-1639
Phone
(718) 446-4700
Fax
(718) 397-7645
NPI assigned
Feb 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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 022194 NY Primary

Addresses

Primary practice location

9801 25TH Ave
East Elmhurst, NY 11369-1639

Mailing address

9801 25TH Ave
East Elmhurst, NY 11369-1639
Phone (718) 446-4700

Other names 1

  • Anna Papamichael Former name

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 Arts

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1114291713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 25TH AVE",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691639",
            "telephone_number": "718-446-4700",
            "fax_number": "718-397-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 25TH AVE",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113691639",
            "telephone_number": "718-446-4700",
            "fax_number": "718-397-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEJUEZ",
        "first_name": "ANNA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PAPAMICHAEL",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.