NPIMap

Organization Active NPI

Little Steps 1 Inc

  • Speech-Language Pathologist
  • Rego Park, NY
National Provider Identifier
1154834893
Registry record updated Jun 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
9124733 Issued in NY
Legal business name
LITTLE STEPS 1 INC
Practice address
63-70 Woodhaven Blvd
Rego Park, NY 11374
Phone
(929) 335-7707
Fax
(929) 335-7709
NPI assigned
Nov 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2018

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

Authorized official

Name
Adelina Samuels, MA-CCC-SLPNPI 1730249400
Title
Ceo
Phone
(718) 701-0536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 9124733 NY Primary

Addresses

Primary practice location

63-70 Woodhaven Blvd
Rego Park, NY 11374

Mailing address

63-70 Woodhaven Blvd
Rego Park, NY 11374-2831
Phone (929) 335-7707

Other practice location 1

8015 Main St Apt A
Jamaica, NY 11435-1253
Phone (718) 701-0536

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180212002330 NY Part B Supplier - Clinic/Group Practice 7618237660 Receives reassigned benefits from 7 practitioners
Practice locations: Rego Park, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1154834893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63-70 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742831",
            "telephone_number": "929-335-7707",
            "fax_number": "929-335-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63-70 WOODHAVEN BLVD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "929-335-7707",
            "fax_number": "929-335-7709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8015 Main St Apt A",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114351253",
            "country_code": "US",
            "telephone_number": "718-701-0536",
            "fax_number": "718-725-7198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE STEPS 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "ADELINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-701-0536",
        "authorized_official_credential": "MA-CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "9124733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.