Active NPI
Maria Ypsilantis
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1205341302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 028885-01
- Practice address
- 560 W 169TH St
New York, NY 10032-3913 - Phone
- (646) 644-7983
- NPI assigned
- Dec 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 14174643 | NY | |
| Speech-Language Pathologist | 235Z00000X | 028885-01 | NY | Primary |
Addresses
Primary practice location
560 W 169TH St
New York, NY 10032-3913
Mailing address
560 W 169TH St
New York, NY 10032-3913
Phone (646) 644-7983
Other practice location 1
54 Lakeville Dr
New Hyde Park, NY 11040-3042
Phone (646) 644-7983
Other practice location 2
49 Montrose Ave
Brooklyn, NY 11206
Phone (718) 473-3808
Other practice location 3
49 Montrose Ave
Brooklyn, NY 11206
Phone (718) 473-3808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028885-01 | NY | MD | Speech-Language Pathologist |
| 14174643 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724803200000",
"number": "1205341302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 W 169TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323913",
"telephone_number": "646-644-7983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 W 169TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323913",
"telephone_number": "646-644-7983"
}
],
"practiceLocations": [
{
"address_1": "54 Lakeville Dr",
"address_purpose": "LOCATION",
"city": "New Hyde Park",
"state": "NY",
"postal_code": "110403042",
"country_code": "US",
"telephone_number": "646-644-7983",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 Montrose Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11206",
"country_code": "US",
"telephone_number": "718-473-3808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "49 Montrose Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11206",
"country_code": "US",
"telephone_number": "718-473-3808",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YPSILANTIS",
"first_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2024-08-28",
"certification_date": "2024-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "14174643",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "028885-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.