Individual provider Active NPI

Maritza Cajigas-Dias, MA,CCC-SLP/TSHH

  • Speech-Language Pathologist
  • Forest Hills, NY
National Provider Identifier
1174831531
Registry record updated Sep 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016107-1 Issued in NY
Practice address
102-40A 67 Dr
Suite C
Forest Hills, NY 11375
Phone
(347) 881-6771
Fax
(718) 380-8753
NPI assigned
Sep 20, 2010
Last updated
Sep 20, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 016107-1 NY Primary

Addresses

Primary practice location

102-40A 67 Dr
Suite C
Forest Hills, NY 11375

Mailing address

14118 77TH Ave Apt F
Flushing, NY 11367-2852
Phone (347) 881-6771

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
016107-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1284940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1174831531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14118 77TH AVE APT F",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672852",
            "telephone_number": "347-881-6771",
            "fax_number": "718-380-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102-40A 67 DR",
            "address_2": "SUITE C",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "347-881-6771",
            "fax_number": "718-380-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAJIGAS-DIAS",
        "first_name": "MARITZA",
        "name_prefix": "Mrs.",
        "credential": "MA,CCC-SLP/TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-20",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "016107-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.