Individual provider Active NPI

Leydy C Prieto, MS SLP TSSLD BE

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1184993032
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
021580 Issued in NY
Practice address
335 E 152ND St
Bronx, NY 10451-5105
Phone
(347) 217-6740
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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 021580 NY Primary

Addresses

Primary practice location

335 E 152ND St
Bronx, NY 10451-5105

Mailing address

1705 Purdy St Apt 4a
Bronx, NY 10462-6358
Phone (347) 217-6740

Other practice location 1

60 Madison Ave
8th Floor
New York, NY 10010-1600
Phone (212) 684-0099 ext. 132

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
Bachelor or Engineering, Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1184993032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 PURDY ST APT 4A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626358",
            "telephone_number": "347-217-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E 152ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515105",
            "telephone_number": "347-217-6740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "60 Madison Ave",
            "address_2": "8th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100101600",
            "country_code": "US",
            "telephone_number": "212-684-0099 x132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIETO",
        "first_name": "LEYDY",
        "middle_name": "C",
        "credential": "MS SLP TSSLD BE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "021580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.