Active NPI
Elizabeth A De la Torre, M.S., CCC-SLP
- Speech-Language Pathologist
- Bronx, NY
National Provider Identifier
1205940624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 018252-1
- Practice address
- 1500 Pelham Pkwy S
Bronx, NY 10461-1100 - Phone
- (718) 730-1004
- NPI assigned
- Aug 19, 2006
- Sex
- Female
- Sole proprietor
- No
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 | SA8512 | FL | |
| Speech-Language Pathologist | 235Z00000X | 018252-1 | NY | Primary |
Addresses
Primary practice location
1500 Pelham Pkwy S
Bronx, NY 10461-1100
Mailing address
507 W 169TH St
Apartment 1
New York, NY 10032-4011
Phone (786) 554-2871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890563100 | Medicaid | FL |
Other names 1
- Miss Elizabeth A Merkle
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA8512 | FL | MD | Speech-Language Pathologist |
| 018252-1 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252454400000",
"number": "1205940624",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 W 169TH ST",
"address_2": "APARTMENT 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100324011",
"telephone_number": "786-554-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 PELHAM PKWY S",
"city": "BRONX",
"state": "NY",
"postal_code": "104611100",
"telephone_number": "718-730-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA TORRE",
"first_name": "ELIZABETH",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2009-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA8512",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "018252-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890563100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "MERKLE",
"middle_name": "A",
"prefix": "MISS",
"credential": "M.S.,CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 9, 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.