Active NPI
Beatrice Nudelman, MS, CCC-SLP
- Speech-Language Pathologist
- West Roxbury, MA
National Provider Identifier
1184018939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 8623
- Practice address
- 1190 VFW Pkwy
West Roxbury, MA 02132-4208 - Phone
- (617) 325-1688
- Fax
- (617) 469-5673
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8623 | MA | Primary |
Addresses
Primary practice location
1190 VFW Pkwy
West Roxbury, MA 02132-4208
Mailing address
120 Peterborough St
Apt C
Boston, MA 02215-4746
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8623 | MA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1184018939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 PETERBOROUGH ST",
"address_2": "APT C",
"city": "BOSTON",
"state": "MA",
"postal_code": "022154746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1190 VFW PKWY",
"city": "WEST ROXBURY",
"state": "MA",
"postal_code": "021324208",
"telephone_number": "617-325-1688",
"fax_number": "617-469-5673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUDELMAN",
"first_name": "BEATRICE",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "8623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Roxbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.