Individual provider Active NPI

Claudine Petit

  • Speech-Language Pathologist
  • Brooklyn, NY
National Provider Identifier
1215476361
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
023701 Issued in NY
Practice address
60 Turner PL Apt 2N
Brooklyn, NY 11218-3458
Phone
(646) 338-8494
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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 023701 NY Primary

Addresses

Primary practice location

60 Turner PL Apt 2N
Brooklyn, NY 11218-3458

Mailing address

60 Turner PL Apt 2N
Brooklyn, NY 11218-3458
Phone (646) 338-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229000380 NY Practitioner - Qualified Speech Language Pathologist 4981095015 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023701-1NYMDMechanotherapist
023701NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Medical PC CurrentSince Dec 1, 2021 Accepting new patients
Homeside Rehab, PT, OT, SLP LLC Speech-Language Pathologist CurrentSince Jun 15, 2022 Accepting new patients
Occupational Therapy Group, LLP Past Accepting new patients

Locations

1343 Webster Ave
Bronx, NY 10456
Phone (917) 453-8417

441 Route 306
Ste 2
Monsey, NY 10952
Phone (201) 952-4436

296 Route 59
Ste 1225
Suffern, NY 10901

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1215476361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 TURNER PL APT 2N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183458",
            "telephone_number": "646-338-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 TURNER PL APT 2N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183458",
            "telephone_number": "646-338-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETIT",
        "first_name": "CLAUDINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023701",
            "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 Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.