Maylen Victoria Herrera Melendez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

024492-01 Issued in NY

Practice address

12510 Queens Blvd Ste 218
Kew Gardens, NY 11415-1506

Phone

(718) 593-4121

NPI assigned

Apr 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1164840427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 E 16TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070024422",
            "telephone_number": "347-720-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 QUEENS BLVD STE 218",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151506",
            "telephone_number": "718-593-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA MELENDEZ",
        "first_name": "MAYLEN",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024492-01",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing Solution Medical Supply Inc
• Health Source Plus Pharmacy, LLC.
• Health Source Plus Pharmacy, LLC.
• Dolores Viessa Hernandez, RN
• Jessica Hernandez
• Peter Herz, M.D.
• Dianco Lavenski Holder, CASAC
• Mary Katherine Hollenbeck, OTR
• Crystal Michelle Holness, BCBA
• Risa Hoshino, M.D.

• Speech-Language Pathologist in Kew Gardens, NY
• Providers in Kew Gardens, 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 Dec 10, 2024; 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.