Individual provider Active NPI

Margaret Kamowski-Shakibai, PHD CCC-SLP

  • Speech-Language Pathologist
  • New York, NY
National Provider Identifier
1174075469
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
024551 Issued in NY
Practice address
530 E 23Rd St Apt 11F
New York, NY 10010-5024
Phone
(917) 697-3655
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 024551 NY Primary
Speech-Language Pathologist 235Z00000X 41YS00677000 NJ

Addresses

Primary practice location

530 E 23Rd St Apt 11F
New York, NY 10010-5024

Mailing address

530 E 23Rd St Apt 11F
New York, NY 10010-5024
Phone (917) 697-3655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
024551NYMDPediatric Occupational Therapist
41YS00677000NJMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1174075469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E 23RD ST APT 11F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105024",
            "telephone_number": "917-697-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 E 23RD ST APT 11F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100105024",
            "telephone_number": "917-697-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMOWSKI-SHAKIBAI",
        "first_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "024551",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00677000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.