Elena Kabzancccslp, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ELENA KABZANCCCSLP, INC.

Practice address

4712 NW 100TH Ter
Coral Springs, FL 33076-2413

Phone

(917) 428-6059

NPI assigned

Jan 25, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elaina Kabzan, MS, CCC-SLP

Title

President

Phone

(917) 428-6059

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elena Kabzan-Vaynman, M.S., CCC/SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1508008244
  NPD

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1164012910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 NW 100TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762413",
            "telephone_number": "917-428-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 NW 100TH TER",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330762413",
            "telephone_number": "917-428-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA KABZANCCCSLP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "KABZAN",
        "authorized_official_first_name": "ELAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-428-6059",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Coral Springs, FL
• Providers in Coral Springs, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.