Active NPI
Fern Heidi Hanover, M.A., M.ED., M.S.
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1124330691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 009473-1
- Practice address
- 320 W 86TH St
Apt. 4B
New York, NY 10024-3139 - Phone
- (917) 648-1787
- Fax
- (212) 933-1640
- NPI assigned
- Jul 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 009473-1 | NY | Primary |
| Speech-Language Pathologist | 235Z00000X | 41YS00596100 | NJ |
Addresses
Primary practice location
320 W 86TH St
Apt. 4B
New York, NY 10024-3139
Mailing address
320 W 86TH St
Apt. 4B
New York, NY 10024-3139
Phone (212) 933-1640
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)
- Enrolled
- Credentials
- Master of Arts, Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009473 | NY | MD | Optometrist |
| 41YS00596100 | NJ | MD | Speech-Language Pathologist |
| 009473-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1124330691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 W 86TH ST",
"address_2": "APT. 4B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243139",
"telephone_number": "212-933-1640",
"fax_number": "212-933-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 W 86TH ST",
"address_2": "APT. 4B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243139",
"telephone_number": "917-648-1787",
"fax_number": "212-933-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANOVER",
"first_name": "FERN",
"middle_name": "HEIDI",
"name_prefix": "Miss",
"credential": "M.A., M.ED., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-12",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "009473-1",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00596100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.