Active NPI
Yolanda Perez
- Speech-Language Pathologist
- New York, NY
National Provider Identifier
1205372406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 026399
- Practice address
- 123 Morningside Dr
New York, NY 10027-6017 - Phone
- (212) 690-5807
- NPI assigned
- Jan 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 026399 | NY | Primary |
Addresses
Primary practice location
123 Morningside Dr
New York, NY 10027-6017
Mailing address
1020 45TH St Apt 3E
Brooklyn, NY 11219-1914
Phone (347) 824-7284
Other practice location 1
7115 15th Ave
Brooklyn, NY 11228-2105
Phone (718) 232-0685
Other practice location 2
150-50 14th Rd
Whitestone, NY 11357
Phone (718) 767-0071
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 |
|---|---|---|---|
| 026399 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1205372406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 45TH ST APT 3E",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112191914",
"telephone_number": "347-824-7284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 MORNINGSIDE DR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100276017",
"telephone_number": "212-690-5807"
}
],
"practiceLocations": [
{
"address_1": "7115 15th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112282105",
"country_code": "US",
"telephone_number": "718-232-0685",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "150-50 14th Rd",
"address_purpose": "LOCATION",
"city": "Whitestone",
"state": "NY",
"postal_code": "11357",
"country_code": "US",
"telephone_number": "718-767-0071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "YOLANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-11",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "026399",
"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 Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.