Nicole Livaditis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5847 Francis Lewis Blvd
Bayside, NY 11364-1698

Phone

(424) 734-7408

NPI assigned

Jul 1, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: lperal@palsspeech.com

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1114589108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27-16 163 STREET",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5847 FRANCIS LEWIS BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641698",
            "telephone_number": "424-734-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVADITIS",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPEECH THERAPY",
            "identifier": "1881098879",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lperal@palsspeech.com",
            "affiliation": "N",
            "address_1": "2716 163rd St",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113581042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mei Qing Liu, PHARMD
• Minlin Liu, L.AC
• Ray J Liu, OTR
• Shang-Chen Liu, MSED
• Yin Yin Liu, PHARM D.
• Amy Beth Livingston, RPA-C
• Annie Laikwan Lo
• Madeline Regina Loduca, D.M.D.P.C
• Sunhoon Loh, DDS
• Pamela A Long, M.A. CCC-SLP

• Speech-Language Pathologist in Bayside, NY
• Providers in Bayside, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.