Organization Active NPI

Blitman Speech Pathology Services, P.C.

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1205066701
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
009213 Issued in NY
Legal business name
BLITMAN SPEECH PATHOLOGY SERVICES, P.C.
Practice address
1535 45TH St
Brooklyn, NY 11219-1629
Phone
(718) 972-1100
Fax
(718) 972-1177
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Dr. Simeon Blitman, PH.D.
Title
Ceo
Phone
(718) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 009213 NY Primary

Addresses

Primary practice location

1535 45TH St
Brooklyn, NY 11219-1629

Mailing address

1535 45TH St
Brooklyn, NY 11219-1629
Phone (718) 972-1100

National Provider Directory

National Provider Directory

Locations

1535 45th St
Brooklyn, NY 11219
Phone (718) 972-1100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1205066701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191629",
            "telephone_number": "718-972-1100",
            "fax_number": "718-972-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 45TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191629",
            "telephone_number": "718-972-1100",
            "fax_number": "718-972-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLITMAN SPEECH PATHOLOGY SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "BLITMAN",
        "authorized_official_first_name": "SIMEON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-972-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; 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.