Devorah Moradi, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

3406 Avenue L
Brooklyn, NY 11210-5442

Phone

(718) 812-9478

NPI assigned

Jun 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Devorah Gitisetan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DMSC Inc.

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1023642618
  NPD Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1164873196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105442",
            "telephone_number": "718-812-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112105442",
            "telephone_number": "718-812-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORADI",
        "first_name": "DEVORAH",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVORAH",
            "last_name": "GITISETAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jose Tomas Mora, M.D., M.P.A.
• Maria A Mora, L.M.H.C.
• Maximo E Mora, MD
• Nazaret Aide Mora
• Ricardo Mora, MD
• Esty Moradi, LCSW
• Sara Moradi, OTR/L
• Shahab Moradi, DPT
• Shervin Moradi
• Negar Moradian Shahrbabaky

• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, 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 Feb 24, 2020; 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.