Astoria Speech and Language P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ASTORIA SPEECH AND LANGUAGE P.C.

Practice address

3708 28TH Ave Ste 202
Astoria, NY 11103-4248

Phone

(631) 901-3769

NPI assigned

Jul 8, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Leah Blakeley, M.S. CCC-SLPNPI 1053628651

Title

Owner

Phone

(631) 901-3769

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

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

• Leah Blakeley, M.A. CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
  • NPI 1053628651
  Medicare reassignment NPD Authorized official
• Nicolette Therese Giammona, CCC-SLP/TSSLD

  • Speech-Language Pathologist
  • Astoria, NY
  • NPI 1811797376
  NPD
• Elli Katsanos

  • Speech-Language Pathologist
  • Astoria, NY
  • NPI 1114775624
  NPD (past)
• Logan Mollie Pincus, MA, CCC-SLP, TSSLD

  • Speech-Language Pathologist
  • Astoria, NY
  • NPI 1952260481
  NPD (past)
• Isabelle Rogers

  • Speech-Language Pathologist
  • Astoria, NY
  • NPI 1154248219
  NPD (past)
• Alexandra Leigh Shulman, CCC-SLP

  • Speech-Language Pathologist
  • Astoria, NY
  • NPI 1356263248
  NPD (past)

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1164040051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 28TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111031117",
            "telephone_number": "631-901-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 28TH AVE STE 202",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034248",
            "telephone_number": "631-901-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA SPEECH AND LANGUAGE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "BLAKELEY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-901-3769",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Astoria, NY
• Providers in Astoria, 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 8, 2020; 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.