Individual provider Active NPI

Janice Lee Raoul, M.S. CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1134476013
Registry record updated Dec 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023100 Issued in NY
Practice address
1349 Remsen Ave
Brooklyn, NY 11236-4266
Phone
(347) 668-2326
NPI assigned
Aug 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 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 023100 NY Primary

Addresses

Primary practice location

1349 Remsen Ave
Brooklyn, NY 11236-4266

Mailing address

1349 Remsen Ave
Brooklyn, NY 11236-4266

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1134476013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 REMSEN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364266",
            "telephone_number": "347-668-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOUL",
        "first_name": "JANICE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP, TSSLD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-09",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023100",
            "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 Dec 7, 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.