Individual provider Active NPI

Ani Nozadze, SLP

  • Speech-Language Pathologist
  • New City, NY
National Provider Identifier
1184504284
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
034782 Issued in NY
Practice address
70 Phillips Hill Rd
New City, NY 10956-4114
Phone
(845) 267-0110
Fax
(845) 267-2634
NPI assigned
Sep 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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 034782 NY Primary

Addresses

Primary practice location

70 Phillips Hill Rd
New City, NY 10956-4114

Mailing address

210 Route 303
Valley Cottage, NY 10989-2035
Phone (845) 267-0110

Other practice location 1

210 Route 303
Valley Cottage, NY 10989-2035
Phone (845) 267-0110

Other practice location 2

206 Route 303
Valley Cottage, NY 10989-2019
Phone (845) 267-0110

Other practice location 3

100 Phillips Hill Rd
New City, NY 10956-4134
Phone (845) 267-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918003009 NY Practitioner - Qualified Speech Language Pathologist 3870097207 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arc Healthresources of Rockland IncGroup PAC ID 4183631708, 15 clinicians

Practice addresses (Care Compare)

70 Phillips Hill Rd
New City, NY 10956-4114
Phone (845) 267-0110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arc Healthresources of Rockland, Inc. Speech-Language Pathologist CurrentSince Aug 10, 2025 Accepting new patients

Locations

100 Phillips Hill Rd
New City, NY 10956
Phone (646) 463-2013

70 Phillips Hill Rd
New City, NY 10956
Phone (845) 267-0110

210 Route 303
Vly Cottage, NY 10989
Phone (845) 267-0110

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1184504284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 ROUTE 303",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109892035",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PHILLIPS HILL RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564114",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Route 303",
            "address_purpose": "LOCATION",
            "city": "Valley Cottage",
            "state": "NY",
            "postal_code": "109892035",
            "country_code": "US",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Route 303",
            "address_purpose": "LOCATION",
            "city": "Valley Cottage",
            "state": "NY",
            "postal_code": "109892019",
            "country_code": "US",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Phillips Hill Rd",
            "address_purpose": "LOCATION",
            "city": "New City",
            "state": "NY",
            "postal_code": "109564134",
            "country_code": "US",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOZADZE",
        "first_name": "ANI",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "034782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.